Rübesamen M, Gleiser W, Kuhlmann A, Rolka H, Giegler I, Grossmann K
Z Gesamte Inn Med. 1977 Sep 15;32(18):suppl 284-6.
After the experiences with the use of the programme of Pipberger concerning the automatised ECG-analysis in clinic, outpatient department and factory public health, which were made at the Medical Academy Erfurt during the last years, at this time comparative examinations with the ECG-analysis programme of Smith were performed. The intake of data (3 orthogonal leads) is done by means of a data establishing unit developed by us. For the analog-digital-changing, the pretreatment of data and the transmission of the ECG-data on the digital magnet tape a process-calculator TPA-i is used. The analysis is performed by the computer Robotron 21. The evaluation of the results shows that, when a great number of patients is examined, normal curves are correctly estimated at 100%. The recognition rate of pathological curves has with 79.5% about the same size as the visual judgment. The deficiencies of the diagnostic programme of Smith must be essentially found in the relatively high proportion of falsely negative findings, the insufficient differentiation of the changes of the chamber variation, in the sometimes incorrect formation, why the classification of the curves in individual groups was performed. On account of the certain centage of falsely negative ones the programme is well recognition of normal findings and the tolerable pernotion of the diagnosis and the sometimes lacking insuited for screening examinations.
在过去几年中，爱尔福特医学院在临床、门诊和工厂公共卫生领域使用了皮普贝格的自动心电图分析程序后，此时对史密斯的心电图分析程序进行了对比检查。数据录入（3个正交导联）通过我们开发的数据建立单元完成。对于模拟 - 数字转换、数据预处理以及将心电图数据传输到数字磁带上，使用了一台过程计算器TPA - i。分析由计算机Robotron 21进行。结果评估表明，在检查大量患者时，正常曲线的正确估计率为100%。病理曲线的识别率约为79.5%，与视觉判断大致相同。史密斯诊断程序的缺陷主要在于假阴性结果的比例相对较高、对心室变化改变的区分不足、有时分类不正确，即曲线在各个组中的分类方式。由于存在一定比例的假阴性结果，该程序对正常结果的识别良好，对诊断的判断尚可容忍，但有时缺乏适用于筛查检查的能力。
