By W. Sansen (auth.), Carlo Marchesi (eds.)

Jlmbulatory tracking of signs, concerning cardiovascular approach consistent with­ formances, is likely one of the biomedical applied sciences of wider curiosity. This curiosity is definitely documented by means of the literature, via the variety of tools available to buy and through the expanding diffusioo of this method at regimen scientific point. The broad distribution of ambulatory tracking is although now not but good supported by means of typically approved standards of medical interpretation, through an evaluate of the minimum necessities for instrumentation performances, or by means of symptoms of costjbenefit figures when it comes to diversified events. numerous ecu centres have a famous services and are well matched to the examinatioo of the matter of defining comnon guidance and of constructing ideas in an effort to stimulate an development of the scientific utilization and of the functionality of the instrumentation. The Biomedical Engineering status staff of the Committee for clinical and Public future health learn licensed the association of this \\Orksrop which had as its goals the review of the state of the art of alternative features of ant>ulatory tracking and the dialogue inside of a gaggle of specialists of the feasibility and curiosity in selling the coordination in Europe of those actions within the frame\\Ork of a "concerted action". The \\Orkshop used to be held in Pisa over complete days (April 11-12, 1983). The individuals have been physicians and engineers, specialists of their fields.

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Additional info for Ambulatory Monitoring: Cardiovascular system and allied applications Proceedings of a workshop held in Pisa, April 11–12, 1983. Sponsored by the Commission of the European Communities, as advised by the Committee on Medical and Public Health Research

Sample text

HOLTER II MEDICAL CONCEPTS, INC. 137 GAITHER DRIVE MT. A. AEGIS 50 REVIEW OF AMBULATORY MONITORING SYSTEMS DEVELOPED AT RESEARCH INSTITUTES C. Zeelenberg Thoraxcentre Erasmus University Rotterdam, The Netherlands ABSTRACT Over the past decade a number of research institutions have developed computer based systems for the analysis of Longterm Ambulatory Continuous Electrocardiographic Recordings (LACER). Some of these systems derive from earlier coronary care monitoring systems and share basic detection and classification algorithms.

There was thus a great inducement to inaccurate, stitutions automated systems for tape analysis and many of the in- previously active in the area of CCU monitoring shifted much of their development effort to ambulatory monitoring. Despite they exhibit technical systems) many many different common constraints.

The Coronary Care Unit (CCU) in the early sixties (Lown et with the requirements for determining the ventricular arrhythwith the appearance of the first 'cheap' minicomputers. all early CCUs employed analog ECG monitors which provided little than digital ECGs morphological features of the P-QRS-T complex (often inaccurate) rate alarms, there were soon a number of inworking on sophisticated monitoring systems using hybrid or processors. The characteristics of this type of system are the use single lead, the ability to handle noise contaminated input, proces- 51 sing time which is always less than the acquisition time (much less in the case of parallel processing of multiple beds) and algorithms which are normally confined to recognition only of the QRS and which make little attempt to delineate all features in detail.

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