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July 7, 1956


JAMA. 1956;161(10):1002. doi:10.1001/jama.1956.02970100068023

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To the Editor:—  I have read with special interest the article "Clinical Implications of Errors in Electrocardiographic Interpretation," published in The Journal (161:138-143 [May 12] 1956) by Dr. Myron Prinzmetal and associates. It is obviously of great importance to understand the limitations involved in electrocardiographic interpretation, and perhaps it cannot be emphasized too often in medicine that laboratory and technical aids should be adjuncts only to a diagnosis in which all other findings and factors are carefully considered. However, are there not grave objections to a new category of "heart disease of electrocardiographic origin?" It has been seriously questioned that a physician's error of interpretation in any type of heart examination really causes the cardioneurotic symptom complex so frequently observed. The natural history of the over-all illness suggests strongly that it is of longer duration and more complex cause than may be explained by a simple iatrogenic concept. Closer

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