Hedstrom K, Macfarlane P W
Siemens-Elema, Stockholm, Sweden.
J Electrocardiol. 1996;29 Suppl:35-40. doi: 10.1016/s0022-0736(96)80017-3.
The Megacare Electrocardiographic (ECG) Management System (Siemens-Elema, Stockholm, Sweden) incorporates methods for serial comparison of the 12-lead ECG based on the Glasgow interpretation program. While a computer is obviously useful for reporting serial changes following myocardial infarction, it was believed helpful to produce a summary serial comparison statement that would take into account the fact that ECG appearances may normally fluctuate from day to day for a variety of reasons. Thus, five additional summary statements were added to the Glasgow program to indicate the extent of change globally compared to the previous ECG recording. In an ECG management system, an important facility that can potentially cause difficulties with serial comparison is overreading. When a statement has been altered by a reviewer, the changes are required to be incorporated into the ECG file so that in any subsequent serial comparison, the modified report is available for comparison with the next ECG. The Megacare system allows for this, and its methodology is described in this article.
梅加凯尔心电图（ECG）管理系统（西门子 - 埃莱玛，瑞典斯德哥尔摩）采用了基于格拉斯哥解读程序对12导联心电图进行系列比较的方法。虽然计算机对于报告心肌梗死后的系列变化显然很有用，但人们认为生成一份总结性的系列比较声明会很有帮助，该声明将考虑到由于各种原因心电图表现通常可能每天都有波动这一事实。因此，在格拉斯哥程序中增加了另外五条总结性声明，以表明与之前的心电图记录相比整体变化的程度。在心电图管理系统中，一个可能给系列比较带来困难的重要因素是复查。当一份声明被审阅者修改后，需要将这些更改纳入心电图文件，以便在任何后续的系列比较中，修改后的报告可用于与下一份心电图进行比较。梅加凯尔系统支持这一点，本文将描述其方法。
