April 2014 Br J Cardiol 2014;21:47–8 doi:10.5837/bjc.2014.010 Online First
Derek Rowlands, Philip Moore
Moreover, the quality of ECG interpretation remains completely obscure to the patient. When any healthcare professional speaks to a patient about that patient’s ECG, the patient automatically assigns to the healthcare professional a degree of competence in the said professional’s ability to read the ECG, which the patient (very reasonably) presumes the professional to have. Sadly, this confidence is usually misplaced. Furthermore, the healthcare workers themselves are often completely unaware of their lack of competence. Possible solutions There are three possible approaches to the alleviation of this problem: (i) the use of computers in
May 2010 Br J Cardiol 2010;17:105-07
Andrew Nicolaides
Traditional methods of risk assessment for cardiovascular events use conventional risk factors to calculate risk often expressed as the 10-year Framingham Risk Score (10y FRS). However, these methods are far from perfect. Although they identify high-risk groups, if followed up these high-risk groups contain at best only a fraction of the events that will occur in the subsequent 10 years. In the Prospective Cardiovascular Munster (PROCAM) study 6.5% of the population were classified as high risk (10-year risk >20%), 14% as intermediate risk (10-year risk 10–20%) and 79.5% as low risk (10-year risk <10%). At 10 years, 33% of all the myo
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