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计算机在心电图解读中的局限性。

Limitations of the computer in electrocardiographic interpretation.

作者信息

Caceres C A

出版信息

Am J Cardiol. 1976 Sep;38(3):362-76. doi: 10.1016/0002-9149(76)90179-x.

DOI:10.1016/0002-9149(76)90179-x
PMID:785997
Abstract

Use of the computer for electrocardiographic interpretation has steadily increased over the past decade. Although acceptance by a majority of physicians has been slower than originally anticipated, it now appears assured. Nevertheless, the approach has limitations. These are primarily a result of the lack of objectivity in clinical electrocardiographic criteria for both measurement and diagnosis. The limitations are best judged by reviewing experience with a variety of programs. Currently this still involves abstracting from the reports of developers. Although not all developers have analyzed every portion of their programs, in general the data from one program apply to others; that is, all are with minor exceptions at the same "state of the art." Awareness of the limits of computer performance allows a physician to use the computer properly in his current electrocardiographic practice.

摘要

在过去十年中,计算机用于心电图解读的情况一直在稳步增加。尽管大多数医生的接受速度比最初预期的要慢,但现在看来已确定会被接受。然而,这种方法存在局限性。这些主要是由于临床心电图测量和诊断标准缺乏客观性所致。通过回顾各种程序的使用经验可以最好地判断这些局限性。目前这仍然需要从开发者的报告中提取信息。虽然并非所有开发者都分析了其程序的每个部分,但总体而言,一个程序的数据适用于其他程序;也就是说,除了一些小的例外,所有程序都处于相同的“技术水平”。了解计算机性能的局限性有助于医生在当前的心电图实践中正确使用计算机。

相似文献

1
Limitations of the computer in electrocardiographic interpretation.计算机在心电图解读中的局限性。
Am J Cardiol. 1976 Sep;38(3):362-76. doi: 10.1016/0002-9149(76)90179-x.
2
Development and performance of Mayo-IBM electrocardiographic computer analysis programs (V70).
Mayo Clin Proc. 1973 Apr;48(4):260-8.
3
Diagnostic accuracy of a 15-lead hybrid computer-aided electrocardiographic system.15导联混合计算机辅助心电图系统的诊断准确性
Eur J Cardiol. 1973 Sep;1(1):29-39.
4
Electrocardiographic automation.心电图自动化
G Ital Cardiol. 1974;4(1):1-14.
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[Computer-based interpretation of ECG--guiding or misleading?].[基于计算机的心电图解读——是指导还是误导?]
Tidsskr Nor Laegeforen. 1999 Sep 30;119(23):3441-4.
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Computer interpretation of electrocardiograms and vectorcardiograms.心电图和向量心电图的计算机解读。
Adv Cardiol. 1976;16:194-202. doi: 10.1159/000398395.
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Will the electrocardiograph replace the electrocardiographer?心电图机能取代心电图医生吗?
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Common electrocardiographic artifacts mimicking arrhythmias in ambulatory monitoring.动态监测中模拟心律失常的常见心电图伪差。
Am Heart J. 2002 Aug;144(2):187-97. doi: 10.1067/mhj.2002.124047.
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Evaluation of computerized electrocardiographic interpretations in a community hospital.社区医院中计算机心电图解读的评估
J S C Med Assoc. 1995 Mar;91(3):105-11.
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Does a computer-based ECG-recorder interpret electrocardiograms more efficiently than physicians?基于计算机的心电图记录仪在解读心电图方面是否比医生更高效?
Clin Physiol. 1985 Oct;5(5):417-23. doi: 10.1111/j.1475-097x.1985.tb00772.x.

引用本文的文献

1
Sources of common computer-cardiologist discord in e.c.g. interpretations in an ambulatory population.
Med Biol Eng Comput. 1982 May;20(3):264-8. doi: 10.1007/BF02442790.
2
Future of computerised electrocardiography.计算机心电图的未来。
Br Heart J. 1980 Jul;44(1):1-4. doi: 10.1136/hrt.44.1.1.
3
Cost-effectiveness analysis of computerized ECG interpretation system in an ambulatory health care organization.流动医疗保健机构中计算机心电图解读系统的成本效益分析。
J Med Syst. 1982 Apr;6(2):121-30. doi: 10.1007/BF00997046.