Biagini A, Antonelli R, Michelassi C, Carpeggiani C, Mazzei M G, Riva A, Lazzari M, Chierchia S, L'Abbate A, Maseri A
G Ital Cardiol. 1980;10(6):668-71.
While the use of the 24 hour Holter monitoring for the detection of the cardiac arrhythmias and conduction disturbances is well established, its applicability to the monitoring of the ST segment and T wave for the detection of myocardial ischemia is controversial. For these reasons the Holter monitoring is mainly confined to the detection of cadiac arrhythmias and is used in those centers where computer facilities are available. We proposed to record the electrocardiographic tape replayed at 60 times the real time on a direct recording ultraviolet oscillograph running at low speed obtaining a fast compact analogue representation of the Holter recording where the 24 hour Holter recording is compressed into cm 480 of paper. The analogue compact representation described allows an easy detection of the transient displacement of the ST segment and/or changes in the T wave amplitude and direction and/or QRS pattern all due to myocardial ischemia without the use of any expensive computer facilities.
虽然使用24小时动态心电图监测来检测心律失常和传导障碍已得到充分确立，但其在监测ST段和T波以检测心肌缺血方面的适用性存在争议。由于这些原因，动态心电图监测主要局限于检测心律失常，并且在有计算机设备的中心使用。我们建议将以实时60倍速度重放的心电图磁带记录在低速运行的直接记录紫外线示波器上，从而获得动态心电图记录的快速紧凑模拟表示，其中24小时动态心电图记录被压缩到480厘米的纸带上。所描述的模拟紧凑表示法无需使用任何昂贵的计算机设备，就能轻松检测出由于心肌缺血导致的ST段瞬时移位和/或T波幅度及方向变化和/或QRS波型。
