Accuracy of automatic QT measurement techniques

N. McLaughlin, R. Campbell, A. Murray
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引用次数: 27

Abstract

The aim of this study was to compare, against manual measurement, 3 algorithms for automatic QT interval measurement using eight 4 lead ECGs recorded from normal subjects. The algorithms investigated determined T wave end from (a) the intercept of the isoelectric line and maximum T wave slope, thresholds applied to (b) the T wave and (c) the differential of the T wave. Mean manual-automatic QT measurement differences of 27 to 29 ms for algorithm a, -2 to 20 ms for b and -5 to 4 ms for c were found. The standard deviations (SD) of the manual-automatic differences varied from 9 to 30 ms. Failure to measure the QT interval (1 to 12 cases) occurred with only algorithm b. Each algorithm performed differently with the mean and SD of the differences, and failure rate for b, dependent on threshold and isoelectric levels used.<>
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QT自动测量技术的准确性
本研究的目的是比较使用正常受试者8张4导联心电图自动测量QT间期的3种算法与人工测量方法的比较。所研究的算法从(a)等电线的截距和最大T波斜率,(b) T波的阈值和(c) T波的微分来确定T波结束。发现算法a的平均手动-自动QT测量差异为27 ~ 29 ms,算法b为-2 ~ 20 ms,算法c为-5 ~ 4 ms。手动-自动差异的标准偏差(SD)为9 ~ 30 ms。只有算法b无法测量QT间期(1至12例)。每种算法的表现不同,差异的平均值和SD,以及b的失败率,取决于所使用的阈值和等电水平。
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