Borkmann's Point and Diagnostic Greed

Borkmann’s Point and the ECG
Borkmann's Point (Swedish: Borkmanns punkt) is a crime novel by Swedish writer
Håkan Nesser,  first published in Sweden in 1994 and translated into English by Laurie
Thompson in 2006. The novel is set in the early 1990s when Chief Inspector Van
Veeteren,  a30-year veteran of police work, cuts short his vacation to help the police chief of the remote town of Kaalbringen and his small crew investigate two axe murders.
The title of the work refers to a tipping point in the solving of crimes as proposed by an admired senior colleague of Van Veeteren. This colleague (Chief Inspector Borkmann) maintained that “In every investigation there comes a point beyond which we don’t really need any more information....We already know enough to solve the case by means of nothing more than some decent thinking”.

Sin of Diagnostic Greed
One of the risks when analyzing ECGs is becoming lost in the details and succumbing to the sin of diagnostic greed,   a compulsion to explain every deflection or quiver in the ECG.  This candistract fromthe development of a “working diagnosis” that is the basis of management and investigation.