The BREACH

How reassuring is that initial ECG, really?


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We are pretty good at asking for a repeat ECG if the first one doesn’t look quite right. If the initial ECG looks normal, however,we are less likely to get a second. Maybe we should. These studies certainly suggest that serial ECGs save lives.
 
Recent retrospective study: Annals of Noninvasive Electrocardiology, July 2017
 
Larger, data registry analysis: American Heart Journal, January 2013
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The BREACHBy Barrie Stevenson