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題 名 | 心電圖自動分析與心臟專家分析之比較 |
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作 者 | 江福田; 葉美齡; 曾淵如; 李淑玉; | 書刊名 | 內科學誌 |
卷 期 | 5:1 1994.03[民83.03] |
頁 次 | 頁23-28 |
分類號 | 415.3023 |
關鍵詞 | 心電圖自動分析; 電腦化心電圖; 心臟科醫師; 比較; Automated electrocardiography; Computed ECG; Cardiologist; Comparison; |
語 文 | 中文(Chinese) |
中文摘要 | 電腦化心電圖的應用迄今,已經對心電圖檔案的建立、貯存與比對提 供了莫大的貢獻,唯心電圖自動分析,仍存在著系統上的差異。為瞭解美國 Marquette公司的心電圖機之判讀正確性,特做了本研究分析。自台大醫院門診 與住院病人共得148份心電圖,經MAC15心電圖自動分析,再與心臟科醫師之 判讀比較。結果電腦判讀不正常者有820例(42),正常者1128例(58)。電腦判讀 為正常者與專家判讀吻合者1119例(99),不吻合者9例(1);電腦判讀為不正常者 與專家判讀吻合者611例(75),不吻合者209例(25)(X��=288.76,P<0.0001)。結論: 電腦化心電圖自動分析適用於大量篩檢的例行工作或研究調查。唯對不正常心電 圖,如心肌梗塞、心室期外收縮、心房不整脈、毛地黃效果與兩心室肥大等之分 析,仍不夠週祥,亟待醫工專家與心臟科醫師繼續努力。 |
英文摘要 | Computed electrocardiography has so far made great contribution to the filing, storage and comparision ofelectrocardiogram. But there still exists system bias and inaccuracy between different automatic ECG analyzers. To understand the accuracy of ECG interpretation of automated electrocardiographer (Marquette Electronic, USA), we compare the 1948 ECG reports from out-and in-hospital patients, interpreted seperatelybyMarquette ECG autoanalyzer and cardiologists. There are 820 abnormal ECG's (42) and 1 1 28 normal ECG's (58) read by autoanalyzer. Among the normal ECG's, 1 1 19 cases (99) are compatible with the interpretaton made by cardiologists: 9 cases (1) are not compatible. Among the abnormal ECG's, 61 1 cases(75) are compatible with the interpretation made by cardiologists; while 209 cases (25) are-not compatible (x= 288.7 6, p < 0.0001 ). Thus we conclude that computed ECG analyzer is suitable for the field screening or routine work, but the interpretation for abnormal ECG's i.e. myocardial infarction, ventricular extrasystole, atrial arrhythmia, digitalis effect and biventricular hypertrophy ect. is not good enough and awaits further studies by medical engineers and cardiologists. (J Intern Med ROC 1994: 5: 23-28.) |
本系統中英文摘要資訊取自各篇刊載內容。