The ST-segment depression/heart rate (ST/HR) analysis has been found to improve the diagnostic accuracy of the exercise ECG test in detecting myocardial ischemia. Recently, three different continuous diagnostic variables based on the ST/HR analysis have been introduced; the ST/HR slope, the ST/HR index and the ST/HR hysteresis. The latter utilises both the exercise and recovery phases of the exercise ECG test, whereas the two former are based on the exercise phase only. This present article presents a computer program which not only calculates the above three diagnostic variables but also plots the full diagrams of ST-segment depression against heart rate during both exercise and recovery phases for each ECG lead from given ST/HR data. The program can be used in the exercise ECG diagnosis of daily clinical practice provided that the ST/HR data from the ECG measurement system can be linked to the program. At present, the main purpose of the program is to provide clinical and medical researchers with a practical tool for comprehensive clinical evaluation and development of the ST/HR analysis.

译文

已发现ST段抑郁/心率(ST / HR)分析可提高运动ECG测试在检测心肌缺血中的诊断准确性。最近,基于ST / HR分析的三种不同的连续诊断变量已被引入; ST / HR斜率,ST / HR指数和ST / HR磁滞。后者利用运动心电图测试的运动和恢复阶段,而前两者仅基于运动阶段。本文介绍了一种计算机程序,该程序不仅可以计算上述三个诊断变量,还可以根据给定的ST / HR数据,针对每个ECG导线在运动和恢复阶段绘制ST段压低相对于心率的完整图。该程序可用于日常临床实践的运动ECG诊断,前提是可将来自ECG测量系统的ST / HR数据链接到该程序。目前,该计划的主要目的是为临床和医学研究人员提供实用的工具,以进行全面的临床评估和ST / HR分析的开发。

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