心电图测量技术指南
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摘要
心电图测量技术是否精准,决定了心电图诊断的正确与否,直接影响到健康医学大数据的建设。早在1996至1997年国内著名心脏病学专家和心电学专家就共同探讨了心电图的测量标准,并达成了共识,对心电图测量标准化的推广起到了重要作用。鉴于近年来心电学检测技术的迅猛发展,我们特邀请国内知名专家起草编写了最新的心电图测量技术指南。本文重点阐述了各波、段、间期的测量,平均心电轴和心率的测量。
The precision degree of electrocardiogram(ECG) measurement technique determines the accuracy of ECG diagnosis,and it directly influences the construction of big data in health care. As early as the year from 1996 to 1997,famous domestic cardiologist and ECG experts collectively discussed the ECG measurement criteria and reached a consensus which plays an important role in the promotion of standardization of ECG measurement. In view of the rapid development of ECG detection technique in recent years,we specially invited famous domestic experts to draw up the latest guideline for electrocardiogram measurement technique. This paper focuses on the measurement of each wave,segment,interval,the average cardiac electrical axis and heart rate.
The precision degree of electrocardiogram(ECG) measurement technique determines the accuracy of ECG diagnosis,and it directly influences the construction of big data in health care. As early as the year from 1996 to 1997,famous domestic cardiologist and ECG experts collectively discussed the ECG measurement criteria and reached a consensus which plays an important role in the promotion of standardization of ECG measurement. In view of the rapid development of ECG detection technique in recent years,we specially invited famous domestic experts to draw up the latest guideline for electrocardiogram measurement technique. This paper focuses on the measurement of each wave,segment,interval,the average cardiac electrical axis and heart rate.
引文
[1]Criteria Committee of the New York Heart Association.Nomenclature and criteria for the diagnosis of diseases of the heart[S].New York:New York Heart Association,1953.
[2]American Heart Association Committee on Electrocardiography.Recommendations for standardization of leads and of specifications for instruments in electrocardiography and vectorcardiography[J].Circulation,1975,52(1):11-25.
[3]Rautaharju PM,Ariet M,Pryor TA,et al.The quest for optimal electrocardiography.Task Force Ⅲ:Computers in diagnostic electrocardiography[J].Am J Cardiol,1978,41(1):158-170.
[4]The CSE Working Party.Recommendations for measurement standards in quantitative electrocardiography[J].Eur Heart J,1985,6(10):815-825.
[5]Willems JH,Robles de Medina EO,Bernard R,et al.Criteria for intraventricular conduction disturbances and pre-excitation.World Health Organizational/International Society and Federation for Cardiology Task Force Ad Hoc[J].J Am Coll Cardiol,1985,5(6):1261-1275.
[6]Wu J,Kors JA,Rijnbeek PR,et al.Normal limits of the electrocardiogram in Chinese subjects[J].Int J Cardiol,2003,87(1):37-51.
[7]吴杰,陆再英.常规心电图描记分析方法标准化的进展[J].中华心血管病杂志,1995,23(1):9-11.
[8]O'Keefe JH,Hammil SC,Freed MS,等(著).刘正湘,吴杰(译).临床心电图全解:病例分析和学习精要[M].3版.北京:科学出版社,2010:2-544.
[9]中华医学会心电生理和起搏分会.心电图测量标准化[J].中华心律失常杂志,1998,2(2):119-121.
[10]Kligfield P,Gettes LS,Bailey JJ,et al.Recommendations for the standardization and interpretation of the electrocardiogram:part I:the electrocardiogram and its technology a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee,Council on Clinical Cardiology;the American College of Cardiology Foundation;and the Heart Rhythm Society endorsed by the International Society for Computerized Electrocardiology[J].J Am Coll Cardiol,2007,49(10):1109-1127.
[11]Wagner GS,Macfarlane P,Wellens H,et al.AHA/AC-CF/HRS recommendations for the standardization and interpretation of the electrocardiogram:partⅥ:acute ischemia/infarction:a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee,Council on Clinical Cardiology;the American College of Cardiology Foundation;and the Heart Rhythm Society.Endorsed by the International Society for Computerized Electrocardiology[J].J Am Coll Cardiol,2009,53(11):1003-1011
[12]万学红,卢雪峰.诊断学[M].9版.北京:人民卫生出版社,2018:478-531.
[13]黄宛.临床心电图学[M].5版.北京:人民卫生出版社,1998.
[14]郭继鸿.心电图学[M].北京:人民卫生出版社,2002.
[15]卢喜烈.301心电图学[M].北京:科学技术文献出版社,2010:123-141.
[16]高德恩.实用心电图学[M].济南:山东科学技术出版社,1998.
[2]American Heart Association Committee on Electrocardiography.Recommendations for standardization of leads and of specifications for instruments in electrocardiography and vectorcardiography[J].Circulation,1975,52(1):11-25.
[3]Rautaharju PM,Ariet M,Pryor TA,et al.The quest for optimal electrocardiography.Task Force Ⅲ:Computers in diagnostic electrocardiography[J].Am J Cardiol,1978,41(1):158-170.
[4]The CSE Working Party.Recommendations for measurement standards in quantitative electrocardiography[J].Eur Heart J,1985,6(10):815-825.
[5]Willems JH,Robles de Medina EO,Bernard R,et al.Criteria for intraventricular conduction disturbances and pre-excitation.World Health Organizational/International Society and Federation for Cardiology Task Force Ad Hoc[J].J Am Coll Cardiol,1985,5(6):1261-1275.
[6]Wu J,Kors JA,Rijnbeek PR,et al.Normal limits of the electrocardiogram in Chinese subjects[J].Int J Cardiol,2003,87(1):37-51.
[7]吴杰,陆再英.常规心电图描记分析方法标准化的进展[J].中华心血管病杂志,1995,23(1):9-11.
[8]O'Keefe JH,Hammil SC,Freed MS,等(著).刘正湘,吴杰(译).临床心电图全解:病例分析和学习精要[M].3版.北京:科学出版社,2010:2-544.
[9]中华医学会心电生理和起搏分会.心电图测量标准化[J].中华心律失常杂志,1998,2(2):119-121.
[10]Kligfield P,Gettes LS,Bailey JJ,et al.Recommendations for the standardization and interpretation of the electrocardiogram:part I:the electrocardiogram and its technology a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee,Council on Clinical Cardiology;the American College of Cardiology Foundation;and the Heart Rhythm Society endorsed by the International Society for Computerized Electrocardiology[J].J Am Coll Cardiol,2007,49(10):1109-1127.
[11]Wagner GS,Macfarlane P,Wellens H,et al.AHA/AC-CF/HRS recommendations for the standardization and interpretation of the electrocardiogram:partⅥ:acute ischemia/infarction:a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee,Council on Clinical Cardiology;the American College of Cardiology Foundation;and the Heart Rhythm Society.Endorsed by the International Society for Computerized Electrocardiology[J].J Am Coll Cardiol,2009,53(11):1003-1011
[12]万学红,卢雪峰.诊断学[M].9版.北京:人民卫生出版社,2018:478-531.
[13]黄宛.临床心电图学[M].5版.北京:人民卫生出版社,1998.
[14]郭继鸿.心电图学[M].北京:人民卫生出版社,2002.
[15]卢喜烈.301心电图学[M].北京:科学技术文献出版社,2010:123-141.
[16]高德恩.实用心电图学[M].济南:山东科学技术出版社,1998.