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    • 2. 发明公开
    • Method and apparatus to detect acute cardiac syndromes in specified groups of patients using ECG
    • Vorrichtung zur Erfassung akuter kardiologischer综合征在spezifischen Gruppen von Patienten mittels EKG
    • EP1179319A1
    • 2002-02-13
    • EP01306656.8
    • 2001-08-03
    • GE Medical Systems Information Technologies, Inc.
    • Xue, QiuzhenReddy, Shankara, BonthuTaha, Basel HasanMurray, Jonathan Alan
    • A61B5/0452
    • A61B5/0452Y10S128/923
    • In order to reduce bias associated with conventional ECG analysis, the present invention provides a method and apparatus to improve diagnosis of acute cardiac syndromes (ACS), such as acute myocardial infarction (118) and acute cardiac ischemia (unstable angina), in specified groups of patients (32) using ECG signals and automatic detection analysis (100). Specific criteria are developed and utilized based on a prespecified group selection for the particular patient. After identifying group membership for the particular patient, ECG data are acquired from a patient experiencing ACS symptoms. Known criteria typically used for assessing ACS are then modified (110) for the particular group membership. Such criteria significantly reduce the bias found in a baseline group for which the known criteria were established. The invention is particularly useful in identifying an ACS, and the type of ACS (118), in females under the age of 60 (102) where it has been found that the current critical ST threshold is too high to consistently identify an ACS in this subgroup.
    • 为了减少与常规心电图分析相关的偏倚,本发明提供了一种在特定组中改善急性心肌综合征(ACS)如急性心肌梗塞(118)和急性心肌缺血(不稳定心绞痛)的诊断的方法和装置 的患者(32)使用ECG信号和自动检测分析(100)。 基于针对特定患者的预先指定的组选择来开发和利用特定标准。 在识别特定患者的组成员之后,从经历ACS症状的患者获取ECG数据。 然后通常用于评估ACS的已知标准针对特定组成员进行修改(110)。 这些标准显着降低了建立已知标准的基准组中发现的偏倚。 本发明特别可用于在60岁以下的女性(102)中识别ACS和ACS(118)的类型,其中已经发现当前临界ST阈值太高以致不能一致地识别ACS 子组。