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Journal of Cardiovascular Translational Research

Published in:

01-10-2020 | Original Article

Optimal ECG Lead System for Exercise Assessment of Ischemic Heart Disease

Authors: Michał Kania, Roman Maniewski, Rajmund Zaczek, Małgorzata Kobylecka, Heriberto Zavala-Fernandez, Leszek Królicki, Grzegorz Opolski

Published in: Journal of Cardiovascular Translational Research | Issue 5/2020

Abstract

The diagnostic value of an ECG exercise test in diagnosis of ischemic heart disease (IHD) is limited. We investigated whether it is possible to develop a method for diagnosis of IHD which uses a low number of optimal ECG leads and has a higher diagnostic efficiency than conventional exercise ECG. This study was carried out on 43 patients. The 67-lead high-resolution ECG was recorded at rest and during exercise. The diagnostic value of ST segment depression (ΔST60) and T-wave morphology change (δT) determined in optimized ECG lead configurations was higher than for the standard 12-lead ECG. The best results were obtained for δT determined from 6 ECG electrode locations where sensitivity and specificity were 70% and 69% whereas for the standard exercise ECG were 63% and 62%, respectively. The small number of ECG leads used allows for easy hardware implementation of the methods for use in clinical settings.

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Title: Optimal ECG Lead System for Exercise Assessment of Ischemic Heart Disease
Authors: Michał Kania
Roman Maniewski
Rajmund Zaczek
Małgorzata Kobylecka
Heriberto Zavala-Fernandez
Leszek Królicki
Grzegorz Opolski
Publication date: 01-10-2020
Publisher: Springer US
Published in: Journal of Cardiovascular Translational Research / Issue 5/2020
Print ISSN: 1937-5387
Electronic ISSN: 1937-5395
DOI: https://doi.org/10.1007/s12265-019-09949-3

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