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Chest Roentgenograms and ECGs in Hypertension

Harry F. Klinefelter, MD
Arch Intern Med. 1980;140(11):1556. doi:10.1001/archinte.1980.00330220094044.
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To the Editor.  —Drs Frohlich and Dunstan, in the September issue of the Archives (139:967-968, 1979), seem to believe that the abnormalities, usually minor, discovered when chest roentgenograms and ECGs were done on hypertensive subjects are important. They state that it is unfortunate that these data were not used for diagnostic, prognostic, and management purposes. They did not, however, elucidate how these changes could be of assistance in managing hypertension.The authors also asked, "Since when do physicians exclude tests if the results are negative?" I do not understand what they mean by this query. In my experience, patients are delighted to know their state of good health without having tests that show negative results. Also, as we all know, a normal ECG does not prove that the patient does not have heart disease anyway.The authors also state that "society today is inclined to judge the failure to perceive


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