论文信息 - Computer analysis of the electrocardiogram: evaluation of experience in a hospital heart station.

Computer analysis of the electrocardiogram: evaluation of experience in a hospital heart station.

C ardiologists and administrators, concerned with the increasing volume of hospital electrocardiograms (ECG’s), are considering automation as a means of saving money and manpower. The initial cost for computer systems for ECG processing is high and prospective purchasers should fully understand the limitations as well as the capabilities of these systems for clinical use. In a collaborative study with the Medical Systems Development Laboratory of the United States Public Health Service, the Heart Station of the George Washington University Hospital used computer-derived ECG interpretations as part of its routine ECG processing from 1964 to 1968. Computer processing7 was performed by the Medical Systems Development Laborat0ry.l Members of the Heart Station staff assisted in the development of diagnostic criteria and in the evaluation of the programe2 This report describes the operation of the computer system in our institution over a 12 month period, presents an analysis of the system with emphasis on the accuracy of ECG interpretation, and evaluates computer analysis of the ECG for use in hospital practice.

J. Evans | P. Gorman | J M Evans | P A Gorman

[1] S Abraham,et al. Automation of electrocardiographic diagnostic criteria. , 1967, JAMA.

[2] C A Caceres,et al. Transmission of electrocardiograms from a community hospital for remote computer analysis. , 1968, The American journal of cardiology.

[3] J. P. Mcgovern,et al. Allergy and secretory otitis media. An analysis of 512 cases. , 1967, JAMA.

[4] Cesar A. Caceres,et al. COMPUTER AIDS IN ELECTROCARDIOGRAPHY , 1964, Annals of the New York Academy of Sciences.

[5] C A Caceres,et al. Monitoring of electrocardiograms in a coronary care unit by digital computer. , 1969, JAMA.

[6] L Pordy,et al. Computer diagnosis of electrocardiograms. IV. A computer program for contous analysis with clinical results of rhythm and contour interpretation. , 1968, Computers and biomedical research, an international journal.

[7] H Miyahara,et al. Cardiac arrhythmia diagnosis by digital computer. Considerations related to the temporal distribution of P and R waves. , 1968, Computers and biomedical research, an international journal.

[8] H. Neufeld,et al. Human versus computer evaluation of electrocardiographic data in epidemiological studies. , 1969, Israel journal of medical sciences.