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Amubulatory Monitoring: Real-Time Analysis Versus Tape Scanning Systems

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Ambulatory Monitoring

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 37))

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Abstract

Long term ambulatory monitoring has become an important diagnostic technique, particularly in cardiology. The monitoring of electrocardiographic data has found many important applications, as discussed previously by others in this workshop. The technique is used to evaluate patients with known ventricular ectopic activity who may be at risk for sudden death, to monitor patients after myocardial infarction, to evaluate patients with intermittent symptoms possibly due to cardiac arrhythmias, to document the effectiveness of antiarrhythmic drug therapy, and to check the function of implanted cardiac pacemakers (1–9).

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References

  1. Corday, E., Bazika, V., Lang, T., et al. 1965. Detection of phantom arrhythmmias and evanescent electrocardiographic abnormalities: use of prolonged direct electrocardiorecording. JAMA 193:417.

    PubMed  CAS  Google Scholar 

  2. Lown, B., Calvert, A., Armington, M., et al. 1975. Monitoring for serious arrhythmias and high risk of sudden death, Circulation, 52:suppl. III, 189–98.

    Google Scholar 

  3. Crawford, M., O’Rourke, R., et al. 1974. Comparative effectiveness of exercise testing and Holter monitoring for detecting arrhythmias in patients with previous myocardial infarction, Amer. J. Cardiol. 33:132.

    Article  Google Scholar 

  4. Harrison, D.C., Fitzgerald, J.W. and Winkle, R.A. 1976. Ambulatory electrocardiography for diagnosis and treatment of cardiac arrhythmias. New Engl. J. Med. 294:373.

    Article  PubMed  CAS  Google Scholar 

  5. Kennedy, H.L. and Caralis, D.G. 1977. Ambulatory electrocardiography, a clinical perspective. Ann. Intern. Med. 87:729.

    PubMed  CAS  Google Scholar 

  6. Famularo, M.A. and Kennedy, H.L. 1982. Ambulatory electrocardiography in the assessment of pacemaker function. Am. Heart J. 104:1086–94.

    Article  PubMed  CAS  Google Scholar 

  7. Vismara, L.A., Vera, Z., Foerster, J.M., et al. 1977. Identification of sudden death risk factors in acute and chronic coronary artery disease. Am. J. Cardiol. 821:39.

    Google Scholar 

  8. Michelson, E.L. and Morganroth, J. 1980. Spontaneous variability of complex ventricular arrhythmias detected by long-term electrocardiographic recording. Circulation 61:690.

    PubMed  CAS  Google Scholar 

  9. Harrison, D.C., Fitzgerald, J.W. and Winkle, R.A. 1978. Contribution of ambulatory electrocardiographic monitoring to antiarrhythmic management. Am. J. Cardiol. 41:996.

    Article  PubMed  CAS  Google Scholar 

  10. Mark, R.G., Moody, G.B., Olson, W.H., et al. 1981. Event recorders and future systems. In “Ambulatory Electrocardiographic Recording” (Eds. N.K. Wenger, M.B. Mock, L. Ringqvist). (Yearbook Medical Publishers, Chicago). pp. 113–132.

    Google Scholar 

  11. Salerno, D., Hodges, M., Granrud, G., et al. 1983. Inaccuracy of commercial 24-hour ECG analyzers for quantitation of simple and complexventricular arrhythmia. J. Am. Coll. Cardiol. 1(2):597.

    Google Scholar 

  12. Personal Communication from Mr. Dan Winterstein, COM Medical Systems, Inc., P.O. Box 222, Tirat Hacarmel 30251, Isreal.

    Google Scholar 

  13. Personal Communication from Mr. Michael Zack, Datamedix, Inc., Route One, Sharon, MA 02067, USA.

    Google Scholar 

  14. Personal Communication from Mr. Jens Muller, International Medical Corporation, 64 Inverness Drive East, Englewood, CO 80112, USA.

    Google Scholar 

  15. Personal Communication from Dr. Peter Balnave, Medical Concepts, Inc., 137 Gaither Drive, Mt. Laurel, NJ 08054, USA.

    Google Scholar 

  16. Personal Communication from Mr. Douglas Hoag, Medicomp, Inc., 1250 West NASA Blvd., Melbourne, FL 32901, USA.

    Google Scholar 

  17. Personal Communication from Mr. Herb Reinhold, Survival Technology, Inc., 7801 Woodmont Avenue, Bethesda, ND 20814, USA.

    Google Scholar 

  18. Mark, R.G., Moody, G.B., Olson, W.H., et al. 1979. Real-time ambulatory arrhythmia analysis with a microcomputer. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 57–62.

    Google Scholar 

  19. Arnold, J. 1972. Time-domain filtering of electrocardiograms. S.B. Thesis, Massachusetts Institute of Technology, Dept. of Electrical Engineering, Cambridge, Mass., U.S.A.

    Google Scholar 

  20. Nolle, F.M. 1972. ARGUS, a clinical computer system for monitoring electrocardiographic rhythms, D.Sc. Dissertation, Washington University, St. Louis, Missouri, U.S.A.

    Google Scholar 

  21. Lovelace, D.E., Knoebel, S.B. and Zipes, D.P. 1976. Recognition of ventricular extrasystoles in sedentary vs. ambulatory populations. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 9–12.

    Google Scholar 

  22. Moody, G.B. and Mark, R.G. 1982. Development and evaluation of a 2-lead ECG analysis program. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 39–44.

    Google Scholar 

  23. Watanabe, K., et al. 1980. Computer analysis of the exercise ECG: a review. Prog. Cardiovasc. Dis. 22:423.

    Article  PubMed  CAS  Google Scholar 

  24. Rappaport, S., Gillick, L., Moody, G., et al. 1982. QRS morphology classification: quantitative evaluation of different strategies. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 33–38.

    Google Scholar 

  25. Ripley, K.L. and Murray, A. 1980. Introduction to automated arrhythmia detection. IEEE Computer Society, Los Alamitos, CA.

    Google Scholar 

  26. Thomas, L.J., Clark, K.W., Mead, C.N., et al. 1979. Automated cardiac dysrhythmia analysis. Proc. IEEE, 67:309–324.

    Article  Google Scholar 

  27. Oliver, G.C., Ripley, K.L., Miller, J.P., et al. 1977. A critical review of computer arrhythmia detection. In “Computer Electrocardiography: Current Status and Criterion” (Ed. L. Pordy). (Futura Publishing Co., Mt. Kisco, NY). pp. 319–360.

    Google Scholar 

  28. Cox, J.R., Nolle, F.M. and Arthur, R.M. 1972. Digital analysis of the electroencephalogram, the blood pressure wave, and the electrocardiogram. Proc. IEEE, 60:1137–1164.

    Article  Google Scholar 

  29. Ripley, K.L. and Arthur, R.M. 1975. Evaluation and comparison of automatic arrhythmia detectors. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 27–32.

    Google Scholar 

  30. Feldman, C.L. 1974. Evaluation of arrhythmia detectors. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 21–27.

    Google Scholar 

  31. Cox, J.R., Hermes, R.E. and Ripley, K.L. 1981. Evaluation of performance. In “Ambulatory Electrocardiographic Recording.” (Eds. N.K. Wenger, M.B. Mock, and I. Ringqvist). (Yearbook Medical Publishers, Chicago). pp 183–198.

    Google Scholar 

  32. Hermes, R.E. and Oliver, G.C. 1981. Use of the American Heart Association database. In “Ambulatory Electrocardiographic Recording.” (Eds. N.K. Wenger, M.B. Mock, and I. Ringqvist). (Yearbook Medical Publishers, Chicago). pp 165–181.

    Google Scholar 

  33. Hermes, R.E., Geselowitz, D.B. and Oliver, G.C. 1980. Development, distribution and use of the American Heart Association database for ventricular arrhythmia detector evaluation. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 263–266.

    Google Scholar 

  34. Schluter, P.S., Peterson, S.K., Siegel, L.C., et al. 1978. A database for arrhythmia detector evaluation. Proceedings of the 31st ACEMB.

    Google Scholar 

  35. MIT-BIH Arrhythmia Database: Tape directory and format specification. 1980. Biomedical Engineering Center for Clinical Instrumentation, Technical Report No. 010, NET Cambridge, MA 02139.

    Google Scholar 

  36. Schluter, P., Mark, R., Moody, G., et al. 1980. Performance measures for arrhythmia detectors. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 267–270.

    Google Scholar 

  37. Zeelenberg, C. and Meij, S.H. 1981. Evaluation and optimization of an existing arrhythmia detection system by using an annotated ECG database. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 103–108.

    Google Scholar 

  38. Wang, J.Y., Shaya, M.N., Helfenbein, E.D., et al. 1982. The design and evaluation of a real-time arrhythmia monitoring algorithm. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 363–366.

    Google Scholar 

  39. Mark, R.G., Schluter, P.S., Moody, G., et al. 1982. An annotated ECG database for evaluating arrhythmia detectors. In “Frontiers of Engineering in Health Care—1982.” Proc. of 4th Annual IEEE EMBS Soc. Conf.

    Google Scholar 

  40. Kennedy, H.L., Sprague, M.K., Shriver, K.K., et al. 1982. Real-time analysis Holter ECG — a new approach. Circulation, 66(supp. 11):74.

    Google Scholar 

  41. Mead, C.N., Pull, H.R., Clark, K.W., et al. 1982. Expanded frequency-domain ECG waveform processing: Integration into a new version of Argus/2H. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 205–209.

    Google Scholar 

  42. Personal communication from Dr. Paul Schluter of Marquette Electronics, Inc., Milwaukee, Wisconsin. Data refer to developmental version of system operating in Spring 1982.

    Google Scholar 

  43. Feldman, C.L. 1981. How should Holter monitoring analysis be performed? In “The evaluation of new antiarrhythmia drugs.” (Eds. J. Morganroth and E.N. Moore). (Martinus Nijhoff Publishers, The Hague, The Netherlands).

    Google Scholar 

  44. Stein, I.M., Plunkett, J. and Troy, M. 1980. Comparison of techniques for examining long-term ECG recordings. Medical Instrumentation, 14:69–72.

    PubMed  CAS  Google Scholar 

  45. Thomas, L.J., Clark, K.W., Mead, C.N., et al. 1981. Supraventricular arrhythmias: strategies for detection. In “Ambulatory Electrocardiographic Recording.” (Eds. N.K. Wenger, M.B. Mock, and I. Ringqvist). (Yearbook Medical Publishers, Chicago), pp. 213–232.

    Google Scholar 

  46. Lovelace, D.E. and Knoebel, S.B. 1982. Time series analysis in predicting ventricular arrhythmias. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 45–48.

    Google Scholar 

  47. Adam, D.R., Powell, A.O., Gordon, H., et al. 1982. Ventricular fibrillation and fluctuations in the amplitude of the repolarization vector. In “Computers in Cardiology” (IEEE Computer Society, Los Alamitos, CA). pp. 241–244.

    Google Scholar 

  48. Akselrod, S., Gordon, D., Ubel, F.A., et al. 1981. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science, Vol. 213:220–222.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Biomedical Engineering Center for Clinical Instrumentation, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA

    Roger G. Mark

  2. Thoraxcentrum, Erasmus University, Rotterdam, The Netherlands

    Kenneth L. Ripley

Authors
  1. Roger G. Mark
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  2. Kenneth L. Ripley
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Editor information

Editors and Affiliations

  1. CNR Institute of Clinical Physiology, Pisa, Italy

    Carlo Marchesi

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© 1984 ECSC, EEC, EAEC, Brussels-Luxembourg

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Mark, R.G., Ripley, K.L. (1984). Amubulatory Monitoring: Real-Time Analysis Versus Tape Scanning Systems. In: Marchesi, C. (eds) Ambulatory Monitoring. Developments in Cardiovascular Medicine, vol 37. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-6012-1_25

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  • DOI: https://doi.org/10.1007/978-94-009-6012-1_25

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-6014-5

  • Online ISBN: 978-94-009-6012-1

  • eBook Packages: Springer Book Archive

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