Nilsson G, Walker A, Jonason T, Ringqvist I
Hjärtsektionen, medicinkliniken, Centrallasarettet, Västerås.
Lakartidningen. 2001 Oct 31;98(44):4833-7.
We describe our experience using a database (Sicare, Siemens Elema) containing 381,000 ECGs covering 90% of all ECGs during 11 years in the county of Västmanland, Sweden, with 260,000 inhabitants. The database expedites rapid recovery of earlier ECGs. For instance, in patients admitted to coronary care with chest pain and ST-elevation, speedy access to an earlier ECG with identical ST-elevation may be crucial for avoiding unnecessary and potentially harmful thrombolysis. The database also enables us to select ECGs with a specific diagnosis, for instance atrial fibrillation. This facilitates characterization and quality control of treatment of atrial fibrillation in a well-defined population.
我们描述了使用一个数据库（Sicare，西门子Elema）的经验，该数据库包含381,000份心电图，覆盖了瑞典韦斯特曼兰县11年间所有心电图的90%，该县有26万居民。该数据库加快了早期心电图的快速检索。例如，对于因胸痛和ST段抬高而入住冠心病监护病房的患者，快速获取具有相同ST段抬高的早期心电图对于避免不必要的、可能有害的溶栓治疗可能至关重要。该数据库还使我们能够选择具有特定诊断的心电图，例如心房颤动。这有助于在明确界定的人群中对心房颤动治疗进行特征描述和质量控制。
