Dragodanne C, Thomas D, Frank R, Grosgogeat Y, Hirel J C, Akoun J P
Nouv Presse Med. 1981 Apr 4;10(15):1211-4.
Computer interpretation of electrocardiograms was developed twenty years ago and is now routinely performed in the United States, where 9 different programs are being used. Depending on diagnosis and program, computer interpretation shows an 80-100% correlation with human interpretation. The systems provide an aid to diagnosis in preventive medicine and in hospitals without cardiologists, but since interpretations are standardized they are also useful in cardiology units, where they can be used to build up data banks, compare repeat ECGs with clinical findings and thus ultamately perfect electrocardiographic criteria. The use of this technique in Europe remains limited. In France, only two centers possess routine equipment. This feable diffusion is partly due to the cost of computer analysis, which can only compete with that of human interpretation if each system performs a sufficient number of ECGs.
心电图的计算机解读技术是在二十年前研发出来的，如今在美国已成为常规操作，有9种不同的程序正在投入使用。根据诊断结果和程序的不同，计算机解读与人工解读的吻合率在80%至100%之间。这些系统为预防医学以及没有心脏病专家的医院提供了诊断辅助，但由于解读是标准化的，它们在心脏病科也很有用，可用于建立数据库、将重复的心电图与临床检查结果进行比较，从而最终完善心电图标准。这项技术在欧洲的应用仍然有限。在法国，只有两个中心拥有常规设备。这种缓慢的推广在一定程度上是由于计算机分析的成本，如果每个系统处理的心电图数量不足，就无法与人工解读竞争。
