Eyewitness to history: Landmarks in the development of computerized electrocardiography

Abstract The use of digital computers for ECG processing was pioneered in the early 1960s by two immigrants to the US, Hubert Pipberger, who initiated a collaborative VA project to collect an ECG-independent Frank lead data base, and Cesar Caceres at NIH who selected for his ECAN program standard 12...

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Bibliographic Details
Published in:Journal of electrocardiology 2016, Vol.49 (1), p.1-6
Main Author: Rautaharju, Pentti M., MD, PhD
Format: Article
Language:English
Subjects:
Algorithms
Cardiovascular
Classification accuracy
Computer ECG
Diagnosis, Computer-Assisted - methods
Diagnosis, Computer-Assisted - trends
ECG history
ECG readers
Electrocardiography - instrumentation
Electrocardiography - methods
Electrocardiography - trends
Humans
Software - trends
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Summary:Abstract The use of digital computers for ECG processing was pioneered in the early 1960s by two immigrants to the US, Hubert Pipberger, who initiated a collaborative VA project to collect an ECG-independent Frank lead data base, and Cesar Caceres at NIH who selected for his ECAN program standard 12-lead ECGs processed as single leads. Ray Bonner in the early 1970s placed his IBM 5880 program in a cart to print ECGs with interpretation, and computer-ECG programs were developed by Telemed, Marquette, HP-Philips and Mortara. The “Common Standards for quantitative Electrocardiography (CSE)” directed by Jos Willems evaluated nine ECG programs and eight cardiologists in clinically-defined categories. The total accuracy by a representative “average” cardiologist (75.5%) was 5.8% higher than that of the average program (69.7, p < 0.001). Future comparisons of computer-based and expert reader performance are likely to show evolving results with continuing improvement of computer-ECG algorithms and changing expertise of ECG interpreters.
ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2015.11.002