对心血管病学若干进展的反思

心电起搏的发展经历曲折的过程，反映出以技术和设备为本的缺陷，以人为本可弥补这些缺陷；对介入新技术的过热应用反映了以技术为本的弊端；临床试验证据只反映某种情况下的患者共性，对试验证据的僵化理解和运用违背了循证医学的本义，以人为本可较好地解决这一矛盾；预防为主是以人为本的最好体现，应得到广泛的重视和实施。以人为本是医学的核心价值和出发点。

Reflection on Certain Progresses in Cardiovasology

The tortuous development of cardiac dectric pacing reflect the defects of putting technology and equipment fundamental, while humanoriented can remedy the reflect. Overheating application of new interventional technology shows the disadvantage of putting technology first. Clinical trial evidence only reflects the generality of sufferings in a certain condition. It violate the original meaning of Evidence - based Medicine to inflexibly comprehension and use the evidence, and human- oriented can resolve this contradiction wall. Giving priority to prevention is the best embodiment of human - oriented, it should be more emphasis and extensive practiced. Human - oriented is core value and starting point of medicine.