Reproducibility of the signal-averaged electrocardiogram.

Abstract:

:Variation in measurements made from signal-averaged electrocardiograms was examined. Averaging 200 beats in 18 normal subjects, pairs of high-frequency QRS and low-amplitude signal durations correlated at immediate, short-term, and long-term intervals. The percent high-frequency (60 Hz to 120 Hz) voltages in the late potential region had modest correlations. However, 95% confidence intervals of differences in paired measurements were as much as 7% for high-frequency QRS, 20% for a low-amplitude signal, and 53% for percent high-frequency, similar at all time intervals. With electrocardiograms averaged to 0.3 microV noise, high-frequency QRS and low-amplitude signals prolonged, but variation was similar to that of 200 beat pairs. In contrast, low noise reduced percent high-frequency and lessened variation to 29%. Therefore variation in signal-averaged electrocardiographic measurements was considerable (high-frequency voltage greater than durations). Noise did not appreciably influence variation in durations but was critical to consistent voltage measurements in the frequency domain.

journal_name

Am Heart J

journal_title

American heart journal

authors

Engel TR,Pierce DL,Patil KD

doi

10.1016/0002-8703(91)90283-n

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

1652-60

issue

6

eissn

0002-8703

issn

1097-6744

pii

0002-8703(91)90283-N

journal_volume

122

pub_type

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