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Artefactual ST segment abnormalities due to electrocardiograph design.由于心电图机设计导致的伪性ST段异常。
Br Heart J. 1985 Aug;54(2):121-8. doi: 10.1136/hrt.54.2.121.
2
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Am J Vet Res. 1995 Nov;56(11):1534-40.
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[ST-segment analysis in long-term ECG: amplitude and phase response of various systems in comparison with standard ECG and their effect on true original reproduction of ST segment depression].长期心电图中的ST段分析:与标准心电图相比,各种系统的幅度和相位响应及其对ST段压低真实原始再现的影响
Z Kardiol. 1989 Jan;78(1):14-22.
4
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Frequency response characteristics of ambulatory ECG monitoring systems and their implications for ST segment analysis.动态心电图监测系统的频率响应特性及其对ST段分析的影响。
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ST segment distortions by high-side frequency filtration in direct-writing ECG recorders.直描式心电图记录仪中通过高频滤波引起的ST段畸变。
Aviat Space Environ Med. 1977 Mar;48(3):264-8.
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引用本文的文献

1
ANMCO/AIIC/SIT Consensus Information Document: definition, precision, and suitability of electrocardiographic signals of electrocardiographs, ergometry, Holter electrocardiogram, telemetry, and bedside monitoring systems.意大利心脏病学国家协会/意大利重症监护医学协会/意大利技术创新协会共识信息文件:心电图仪、运动试验、动态心电图、遥测和床边监测系统的心电图信号的定义、精度和适用性
Eur Heart J Suppl. 2017 May;19(Suppl D):D190-D211. doi: 10.1093/eurheartj/sux031. Epub 2017 May 2.
2
High-Bandpass Filters in Electrocardiography: Source of Error in the Interpretation of the ST Segment.心电图中的高带通滤波器:ST段解读中的误差来源。
ISRN Cardiol. 2012;2012:706217. doi: 10.5402/2012/706217. Epub 2012 Jun 21.
3
Effects of spinal cord stimulation on myocardial ischaemia during daily life in patients with severe coronary artery disease. A prospective ambulatory electrocardiographic study.脊髓刺激对严重冠状动脉疾病患者日常生活中心肌缺血的影响。一项前瞻性动态心电图研究。
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4
Detection of intraoperative myocardial ischaemia--a comparison among electrocardiographic, myocardial metabolic, and haemodynamic measurements in patients with reduced ventricular function.术中心肌缺血的检测——心室功能减退患者心电图、心肌代谢及血流动力学测量方法的比较
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5
Do we need a new standard for electrocardiographs?我们是否需要心电图仪的新标准?
Br Heart J. 1985 Aug;54(2):119-20. doi: 10.1136/hrt.54.2.119.
6
Continuous ambulatory pulmonary artery pressure monitoring. A new method using a transducer tipped catheter and a simple recording system.连续动态肺动脉压监测。一种使用带有传感器的导管和简单记录系统的新方法。
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本文引用的文献

1
Ambulatory ST segment monitoring. Problems, pitfalls, solutions, and clinical application.动态ST段监测。问题、陷阱、解决方案及临床应用。
Br Heart J. 1980 Oct;44(4):419-25. doi: 10.1136/hrt.44.4.419.
2
Frequency response characteristics of ambulatory ECG monitoring systems and their implications for ST segment analysis.动态心电图监测系统的频率响应特性及其对ST段分析的影响。
Am Heart J. 1982 Jan;103(1):20-31. doi: 10.1016/0002-8703(82)90524-5.
3
Signal distortion in the electrocardiogram due to inadequate phase response.
IEEE Trans Biomed Eng. 1983 Jun;30(6):352-6. doi: 10.1109/tbme.1983.325137.
4
Transversal resonator digital filters: fast and flexible online processors for biological signals.横向谐振器数字滤波器:用于生物信号的快速灵活在线处理器。
Med Biol Eng Comput. 1983 Nov;21(6):718-30. doi: 10.1007/BF02464035.
5
Evaluation of autocorrelation techniques for detection of the fetal electrocardiogram.用于检测胎儿心电图的自相关技术评估
IEEE Trans Biomed Eng. 1966 Jan;13(1):37-43. doi: 10.1109/tbme.1966.4502398.
6
The low-frequency response of electrocardiographs, a frequent source of recording errors.心电图仪的低频响应,这是记录误差的常见来源。
Am Heart J. 1966 Jun;71(6):779-89. doi: 10.1016/0002-8703(66)90599-0.
7
A spectral analysis of the normal resting electrocardiogram.正常静息心电图的频谱分析。
IEEE Trans Biomed Eng. 1973 Sep;20(5):366-72. doi: 10.1109/TBME.1973.324231.
8
Filtering without phase shift.无相移滤波。
IEEE Trans Biomed Eng. 1975 Sep;22(5):432-3. doi: 10.1109/tbme.1975.324517.
9
Effect of random frequency modulation on ECG power spectra.随机频率调制对心电图功率谱的影响。
IEEE Trans Biomed Eng. 1979 Feb;26(2):109-12. doi: 10.1109/tbme.1979.326519.
10
A simple test for phase characteristics of chart recorders.图表记录仪相位特性的简单测试。
IEEE Trans Biomed Eng. 1979 Sep;26(9):505-8. doi: 10.1109/tbme.1979.326431.

由于心电图机设计导致的伪性ST段异常。

Artefactual ST segment abnormalities due to electrocardiograph design.

作者信息

Tayler D I, Vincent R

出版信息

Br Heart J. 1985 Aug;54(2):121-8. doi: 10.1136/hrt.54.2.121.

DOI:10.1136/hrt.54.2.121
PMID:4015923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481865/
Abstract

Specifications recommended for electrocardiographs omit any reference to phase characteristics and place undue emphasis on an extended amplitude response. This does not, however, ensure faithful reproduction of the electrocardiogram and may result in less effective attenuation of unwanted noise than can be achieved with modern filters. The separate effects of phase and amplitude response on electrocardiographic signals were compared, and it was shown that distortion of the electrocardiogram by equipment with an inadequate phase response may cause changes resembling those seen in ischaemic heart disease. Case reports are presented in which distortion produced by commercial equipment impeded diagnosis. Specifications recommended as standard for electrocardiographs should be modified to include phase response and allow greater attenuation of frequencies below 0.5 Hz.

摘要

心电图机推荐规范未提及任何相位特性,而是过度强调扩展的幅度响应。然而,这并不能确保心电图的忠实再现,并且与现代滤波器相比,可能导致对不需要噪声的衰减效果较差。比较了相位和幅度响应对心电图信号的单独影响,结果表明,相位响应不足的设备对心电图的失真可能会导致类似于缺血性心脏病所见的变化。本文给出了一些病例报告,其中商用设备产生的失真妨碍了诊断。推荐作为心电图机标准的规范应进行修改,以纳入相位响应,并允许对低于0.5Hz的频率进行更大程度的衰减。