Letters

Value of ECGs in identifying heart failure due to left ventricular systolic dysfunction

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7039.1160b (Published 04 May 1996) Cite this as: BMJ 1996;312:1160

Echocardiography is still necessary

  1. Suresh Khandekar,
  2. Jeremy J Murphy,
  3. Christopher M Bossingham
  1. Medical registrar Consultant cardiologist Chief cardiac technician Darlington Memorial Hospital, Darlington, County Durham DL3 6HX

    EDITOR,—As A P Davie and colleagues state, echocardiography is considered to be the key investigation in suspected heart failure because treatable causes (primarily valve lesions) may be identified and left ventricular systolic function assessed, with the findings guiding the use of angiotensin converting enzyme inhibitors.1 2 Among 534 patients with suspected heart failure referred to the Edinburgh service, impaired left ventricular systolic function was present in only 18%.1 Twelve lead electrocardiograms were reported independently by two registrars in cardiology and compared with the …

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