Pipberger H V, Simonson E, Lopez E A, Araoye M A, Pipberger H A
Circulation. 1982 Jun;65(7):1456-64. doi: 10.1161/01.cir.65.7.1456.
A new coding system for ECG abnormalities was developed, based on Frank's orthogonal ECG leads. In contrast to other systems, such as the Minnesota Code (MC), the new system was based on data collected prospectively in a cooperative study of 5031 records. The records were classified solely on the basis of non-ECG information. A record sample from normal women was also available. The large data base allowed stratification of ECG criteria according to sex and race. ECG criteria were determined at two levels of sensitivity and specificity. Specificity was 80-100% at the first level and 90-90% at the second. The new system has fewer criteria than other codes, which leads to reduction of coding errors and coding time. For common problems in differential diagnosis, optional criteria were included. A computer program for automated coding was also developed.
基于弗兰克正交心电图导联开发了一种新的心电图异常编码系统。与其他系统（如明尼苏达编码（MC））不同，新系统基于在一项对5031份记录的合作研究中前瞻性收集的数据。这些记录仅根据非心电图信息进行分类。也有来自正常女性的记录样本。这个大型数据库允许根据性别和种族对心电图标准进行分层。心电图标准在两个敏感性和特异性水平上确定。第一水平的特异性为80 - 100%，第二水平的特异性为90 - 90%。新系统的标准比其他编码少，这导致编码错误和编码时间减少。对于鉴别诊断中的常见问题，纳入了可选标准。还开发了一个用于自动编码的计算机程序。
