As a part of automated multiphasic health testing, the new centralized, automated system for mass ECG screening, developed at the Center for Health Care of Aichi, is capable of processing 200 Frank lead exercise ECGs daily.
Twelve-lead ECGs could also be chosen in this system because of their widespread acceptance, consensus of opinion on diagnostic criteria, availability and familiarity to most clinicians.
System facilities are composed of a CPU (JEC-6 digital computer) with a 4-channel A-D converter, 3 accessory memory units and functional interfaces (originally designed) which control the lines between the CPU and terminal devices.
ECG operations such as recording of INST, calibration signal and chart driving etc. are controlled completely automatically by the CPU through the central control box, while the optimal level and range of the feeding signals can be monitored on the chart or oscilloscope. Frank lead X, Y, Z ECGs are fed into the CPU before and after double Master's two-step test if no significant abnormality was noted in the pre-exercise recording. Stored computer program can recognize the peak or nadir of the ECG waves, and determine the amplitude and duration of the P, QRS, and T waves. Input ECG data are also recorded on the chart and FM data recorder after a starting signal, BCD identification number, and signal indicating whether there is a pre-exercise or a post-exercise ECG. Finally, the ECG diagnoses are identified by the decision tree logics, and the results are made available in a printed form and a punched paper tape. The total processing time of a pre-exercise ECG is within 35 seconds and that of a postexercise ECG is less than 25 seconds.
Due to high-speed processing capability with satisfactory accuracy, reproducibility and economy, this system could be efficiently applied to mass screening of cardiovascular diseases.
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