Accuracy of QT Measurement in the EASI-derived 12-lead ECG
Author
Summary, in English
The purpose of this study is to assess QT interval
measurements from the EASI 12-lead ECG as compared to the
standard 12-lead ECG. The QT interval was automatically
measured in simultaneously recorded standard and EASI 12-
lead ECGs, using a validated wavelet-based delineator. The
agreement between the two sets of measurements was
quantified both on a lead-by-lead basis and a multilead basis.
The results show an acceptable agreement between QT
measurements in the two lead systems, with correlation
coefficients (CC) 0.91-0.98 depending on the lead. Standard
deviations range from 9.2 ms to 26.4 ms depending on the
selected lead. In a few patients large inter-system differences were found, mainly due to different T wave morphologies. Using a multilead delineation, QT intervals were considerably more stable than single-lead measurements and resulted in a much better agreement between the two lead systems (CC: 0.98, QT difference: 1.1 ms ± 9.8 ms). Thus, EASI-derived 12- lead ECG may be used for reliable QT monitoring when the multilead delineation approach is adopted.
measurements from the EASI 12-lead ECG as compared to the
standard 12-lead ECG. The QT interval was automatically
measured in simultaneously recorded standard and EASI 12-
lead ECGs, using a validated wavelet-based delineator. The
agreement between the two sets of measurements was
quantified both on a lead-by-lead basis and a multilead basis.
The results show an acceptable agreement between QT
measurements in the two lead systems, with correlation
coefficients (CC) 0.91-0.98 depending on the lead. Standard
deviations range from 9.2 ms to 26.4 ms depending on the
selected lead. In a few patients large inter-system differences were found, mainly due to different T wave morphologies. Using a multilead delineation, QT intervals were considerably more stable than single-lead measurements and resulted in a much better agreement between the two lead systems (CC: 0.98, QT difference: 1.1 ms ± 9.8 ms). Thus, EASI-derived 12- lead ECG may be used for reliable QT monitoring when the multilead delineation approach is adopted.
Publishing year
2006
Language
English
Pages
3986-3989
Publication/Series
Conference proceedings (IEEE Engineering in Medicine and Biology Society. Conf.)
Volume
1
Document type
Conference paper
Publisher
IEEE - Institute of Electrical and Electronics Engineers Inc.
Topic
- Cardiac and Cardiovascular Systems
- Respiratory Medicine and Allergy
Status
Published
ISBN/ISSN/Other
- ISSN: 1557-170X