{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T15:52:56Z","timestamp":1648914776686},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:p>The management of requests for diagnostic exams presents its own inherent characteristics in primary health care and reflects the specific nature of the physician-patient relationship. The scope of the study was to identify the reasons for requesting an electrocardiogram (ECG) in primary health care. A cross-sectional study was conducted in an urban region in Portugal, establishing the motives to ask for an ECG consecutively over two years, starting on 01\/03\/2007 using data retrieved from structured forms filled out by the physician at the moment of requesting the exam. A total of 870 ECGs of 817 patients were included. Symptoms manifested during the patient visit justified 48.5% of the ECGs, and follow-up of cardiovascular risk factors motivated 25.2%. A global health examination accounted for 22.8% of the requests. Multivariate analysis showed that the presence of symptoms (p &lt; 0.001), presence of any cardiovascular risk factor (p = 0.002), hypertension (p &lt; 0.001), diabetes (p = 0.002), and urgency (p &lt; 0.001) were the main factors associated with the requests. The requests for electrocardiograms are predominantly for clinical reasons as a result of patients symptoms. The integration of expectations and beliefs of the patients is present in the decision-making process.<\/jats:p>","DOI":"10.1590\/1413-81232015205.10062014","type":"journal-article","created":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T01:29:34Z","timestamp":1432517374000},"page":"1549-1554","source":"Crossref","is-referenced-by-count":3,"title":["Motives for requesting an electrocardiogram in primary health care"],"prefix":"10.1590","volume":"20","author":[{"given":"Paulo","family":"Santos","sequence":"first","affiliation":[{"name":"Universidade do Porto, Portugal"}]},{"given":"Carlos","family":"Martins","sequence":"additional","affiliation":[{"name":"Universidade do Porto, Portugal"}]},{"given":"Lu\u00edsa","family":"S\u00e1","sequence":"additional","affiliation":[{"name":"Universidade do Porto, Portugal"}]},{"given":"Alberto","family":"Hespanhol","sequence":"additional","affiliation":[{"name":"Universidade do Porto, Portugal"}]},{"given":"Luciana","family":"Couto","sequence":"additional","affiliation":[{"name":"Universidade do Porto, Portugal"}]}],"member":"530","reference":[{"issue":"13","key":"ref1","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1016\/0002-9149(94)90135-X","article-title":"A history of the origin, evolution, and impact of electrocardiography","volume":"73","author":"Fye WB","year":"1994","journal-title":"Am J Cardiol"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1161\/01.CIR.85.3.1221","article-title":"Guidelines for electrocardiography. 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