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April 1963

The Exercise Electrocardiogram in Office Practice

Arch Intern Med. 1963;111(4):531. doi:10.1001/archinte.1963.03620280131031

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The need for early detection of coronary arterial insufficiency led to development of methods such as the anoxia test that were discarded as either impractical or dangerous. Ultimately, Master and his group pioneered, and Russek and those associated with him further developed, standard exercise tests, inherently safe and widely applicable in office practice.

The aim of this monograph is to assess the value and status of the procedure from an extensive and critical review of the work of others and from the author's wide personal experience with it. The theory and practice of office exercise electrocardiography are developed in section I. Development is, in effect, a quiz exercise that brings up all questions that may arise in, and clearly and cogently establishes the value and critical limits of, the method. Section II consists of actual exercise electrocardiograms. These critically interpret and illustrate range, fallacies, and possibilities of the method. A

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