Ariet Mario, DeLuca Daniel C, Gregg Richard E, Zhou Sophia H, Greenfield Joseph C
Department of Medicine, University of Florida, Gainesville, FL, USA.
J Electrocardiol. 2011 Jan-Feb;44(1):60-6. doi: 10.1016/j.jelectrocard.2010.09.005.
Serial comparison of electrocardiograms (ECGs) is a useful tool in clinical diagnostic ECG and an enhancement to computer ECG analysis. When an analysis algorithm is modified, the corresponding serial comparison program needs to be updated accordingly. The new Philips diagnostic algorithm increased the number of leads in the ECG from the traditional 12 leads to 16, making it possible to diagnose right ventricular infarct/injury based on right-sided lead V4R. To keep pace with the widespread reperfusion therapy for acute myocardial infarct, the serial comparison program was revised to recognize the rapid ECG changes in patients with ST-elevation myocardial infarct following successful reperfusion therapies. The serial comparison program was also enhanced to split "combined" statements in the category of ventricular conduction delay (includes incomplete ventricular conduction delay and bundle-branch blocks) and compare each of the statements separately.
心电图（ECG）的系列比较是临床诊断心电图中的一种有用工具，也是对计算机心电图分析的一种改进。当分析算法被修改时，相应的系列比较程序需要进行相应更新。飞利浦新的诊断算法将心电图中的导联数量从传统的12导联增加到16导联，使得基于右侧导联V4R诊断右心室梗死/损伤成为可能。为了跟上急性心肌梗死广泛的再灌注治疗步伐，系列比较程序进行了修订，以识别成功再灌注治疗后ST段抬高型心肌梗死患者心电图的快速变化。系列比较程序还得到了增强，以拆分心室传导延迟类别（包括不完全性心室传导延迟和束支传导阻滞）中的“合并”陈述，并分别比较每个陈述。
