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Journal of Clinical Monitoring

, Volume 6, Issue 2, pp 132–138 | Cite as

Electrocardiographic monitoring: An overview

  • Phillip T. Weinfurt
Article

Abstract

This article presents an overview of the key principles and methods underlying modern electrocardiographc (ECG) monitoring. Multilead processing, improved noise reduction techniques, and automatic lead-fail detection substantially enhance the reliability of ECG monitoring today. Computerized ECG signal processing provides reliable automatic arrhythmia detection, based on sophisticated waveform recognition and classification schemes. State-of-the-art ECG monitors carry out automatic ST segment analysis. They also detect and process pacemaker signals. A variety of signalprocessing methods arc described.

Key words

Monitoring: electrocardiography Measurementtechniques: electrocardiography 

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References

  1. 1.
    Standard for cardiac monitors, heart rate meters and alarms (proposed). Arlington, VA: Association for the Advancement of Medical Instrumentation, 1984Google Scholar
  2. 2.
    Committee on Electrocardiography. Recommendations for standardization of leads and of specifications for instruments in electrocardiography and vectorcardiography. Circulation 1967;35:583–602Google Scholar
  3. 3.
    Thakor NV. From Holter monitors to automatic de-fibrillators: developments in ambulatory arrhythmia monitoring. IEEE Trans Biomed Eng 1984;BME-31:770–778.CrossRefGoogle Scholar
  4. 4.
    Larsen JL, Jenkins JM. Computerized arrhythmia monitoring. J Cardiovasc Nurs 1987;2:58–66PubMedGoogle Scholar
  5. 5.
    Mortara D. A new pattern recognition approach to exercise analysis. In: Van Benmel JH, Willems JL, eds. Trends in computer-processed electrocardiograms. New York: North-Holland, 1977:407–410Google Scholar
  6. 6.
    Kotrly KJ. Intraoperative detection of myocardial ischemia with an ST segrnent trend monitoring system. Anesth Analg 1984;63:343–345PubMedCrossRefGoogle Scholar
  7. 7.
    London MJ, Holtenberg M, Wong MG, et al. Intraoperative myocardial ischemia: localization by continuous 12-lead electrocardiography. Anesthesiology 1988, 69:232PubMedCrossRefGoogle Scholar
  8. 8.
    Roy WL, Edelist G, Gilbert B. Myocardial ischemia during noncardiac surgical procedures in patients with coronary artery disease. Anesthesiology 1979;51:393–397PubMedCrossRefGoogle Scholar
  9. 9.
    Kornfeld J. Cardiology confronts silent ischemia. Cardiology 1985;2:24–30Google Scholar

Copyright information

© Little, Brown and Company 1990

Authors and Affiliations

  • Phillip T. Weinfurt
    • 1
  1. 1.Marquette Electronics, IncMilwaukee

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