Nordgaard-Andersen I
Medicinsk afdeling, Centralsygehuset, Nykøbing.
Ugeskr Laeger. 1991 Apr 8;153(15):1051-2.
The investigation included 500 inpatients, in a Central Hospital. For each of the patients, two ECG registrations were made each time an electrocardiogram was requested and without any modifications between each registration. All electrocardiograms were examined for variations in cardiacrhythm and QRST morphology. In 19.8% of the patients, this double registration provided some new information. The cardiacrhythm was changed in 16.4%, and this was of clinical significance in 15.2% of these. The figure corresponded to 1.6% of all the ECG's. The QRST morphology had altered between the registrations in 5.4%. Among the alterations, 46.8% were of clinical significance, corresponding to the presence of clinically important information in 3% of all the patients investigated, if an ECG registration was repeated within one minute. In one out of every fifth ECG registration it would be possible to obtain some new information, if the registration was repeated within one minute.
该调查纳入了一家中心医院的500名住院患者。对于每位患者,每次要求进行心电图检查时均进行两次心电图记录,且每次记录之间不做任何修改。所有心电图均检查心律和QRST形态的变化。在19.8%的患者中,这种双重记录提供了一些新信息。16.4%的患者心律发生了变化,其中15.2%具有临床意义。该数字相当于所有心电图的1.6%。两次记录之间QRST形态改变的占5.4%。在这些改变中,46.8%具有临床意义,相当于在所有接受调查的患者中有3%存在具有临床重要性的信息,如果在一分钟内重复进行心电图记录的话。如果在一分钟内重复进行记录,每五次心电图记录中就有可能获得一些新信息。