Open AccessA Sudden‐Death Case with Silent Abnormal Q waves: A Dilemma in Health Checkups
Author(s) -
Takeda Yutaka,
Suzuki Shogo,
Fukutomi Tatsuya,
Ito Shigenori,
Murasaki Gen'i,
Okutani Hiroaki,
Ttoh Makoto
Publication year - 2000
Publication title -
journal of occupational health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.664
H-Index - 59
ISSN - 1348-9585
DOI - 10.1539/joh.42.336
Subject(s) - dilemma , medicine , family medicine , medical emergency , epistemology , philosophy
Although abnormal Q waves can appear in electrocardiograms (ECGs) of healthy individuals without experience of cardiac symptoms (silent abnormal Q waves), a report demonstrated that positive predictive accuracy for diagnoses of myocardial infarction (MI) by abnormal Q waves ranged from 30 to 88%, with a mean value of approximately 50%. Should individuals with abnormal Q waves receive further evaluations requiring additional costs even if they had no experience of a cardiac event?