Rübesamen M, Grossmann K, Reissmann H C, Gleiser W, Regel R, Giegler I, Kassel G, Kuhlmann A
Z Gesamte Inn Med. 1978 May 15;33(10):304-8.
It could be shown that an ECG-screening could be integrated into the routine work of a factory outpatient department. As a result of the automatical analysis of the ECG we got an exact knowledge of the efficiency of Smith's and Pipberger's diagnostic programmes. The suitability of the two programmes for screening examinations resulted from the 91% and 97% certain separation of normal and pathological findings and the small proportion of falsely negative results (Smith, Pipberger). Concerning the exact differentiation of pathological ECG the frequency of recognition of Pipberger's programme still surpassed that one of Smith's programme. However, the two programmes show a diagnostic security which lies above the visual diagnosing. The establishment of findings performed off line per week ascertained a rapid disposal of results. In comparison to former examinations newly detected cases could be established only in a small percentage. The importance for health polities of such examinations results from the necessity of the prophylaxis of cardio-vascular diseases, the numbers of morbidity and mortality of which are permanently increasing.
可以证明，心电图筛查可以纳入工厂门诊部的日常工作。通过对心电图的自动分析，我们准确了解了史密斯和皮普伯格诊断程序的效率。这两个程序适用于筛查检查，原因在于正常和病理结果的确定分离率分别为91%和97%，且假阴性结果的比例很小（史密斯、皮普伯格）。关于病理性心电图的准确鉴别，皮普伯格程序的识别频率仍超过史密斯程序。然而，这两个程序显示出高于视觉诊断的诊断安全性。每周离线进行的检查结果确定能快速处理结果。与以前的检查相比，新发现的病例仅占很小的比例。此类检查对卫生政策的重要性源于预防心血管疾病的必要性，心血管疾病的发病率和死亡率一直在上升。
