Holter心電図解析の省力化と解析結果の簡略化について

概要

論文の詳細を見る
Holter ECG has been widely used as a routine test and the number of examination are increasing. From this situation, simplification of analysis is needed and thus SCM-280 has been developed. This study was aimed to examine the diagnostic accuracy of this system.(Methods and results) Diagnostic accuracy was examined for various simulated and real arrhythmias on SCM-280 system and the results were compared to those obtained from analyzor with dialogue system 8000-T, (1) Diagnostic accuracy was low for AV-block and paroxysmal atrial fibrillation (PAf). (2) Both SCM-280 and 8000-T system were not useful for diagnosing premature atrial contraction (PAC), as contrasted that premature ventricular contraction (PVC) were accurately diagnosed by these 2 systems. (3) Especially, good results could be obtained on PVC couplets, PVC triplets, ventricular tachycardia, sick sinus sysndrome with long R-R interval of more than 3 sec and atrial fibrillation with AV-block. (Conclusion) SCM-280 system is usefurl for simplification of Holter ECG analysis for ventricular arrhythmias and some brady arrhythmias. PAC, Paf and AV-block which could not be well defined by this system would diagnosed by using separated treandgram of this system.
日本医療機器学会の論文
1988-08-01