title: Recommendations for the standardization and interpretation of the electrocardiogram: part I: The electrocardiogram and its technology: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology.
abstract: This statement examines the relation of the resting ECG to its technology. Its purpose is to foster understanding of how the modern ECG is derived and displayed and to establish standards that will improve the accuracy and usefulness of the ECG in practice. Derivation of representative waveforms and measurements based on global intervals are described. Special emphasis is placed on digital signal acquisition and computer-based signal processing, which provide automated measurements that lead to computer-generated diagnostic statements. Lead placement, recording methods, and waveform presentation are reviewed. Throughout the statement, recommendations for ECG standards are placed in context of the clinical implications of evolving ECG technology.
authors.affiliation: Weill Medical College of Cornell University, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Kligfield
authors.forename: Leonard S
authors.initials: LS
authors.lastname: Gettes
authors.forename: James J
authors.initials: JJ
authors.lastname: Bailey
authors.forename: Rory
authors.initials: R
authors.lastname: Childers
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Deal
authors.forename: E William
authors.initials: EW
authors.lastname: Hancock
authors.forename: Gerard
authors.initials: G
authors.lastname: van Herpen
authors.forename: Jan A
authors.initials: JA
authors.lastname: Kors
authors.forename: Peter
authors.initials: P
authors.lastname: Macfarlane
authors.forename: David M
authors.initials: DM
authors.lastname: Mirvis
authors.forename: Olle
authors.initials: O
authors.lastname: Pahlm
authors.forename: Pentti
authors.initials: P
authors.lastname: Rautaharju
authors.forename: Galen S
authors.initials: GS
authors.lastname: Wagner
authors.forename: Mark
authors.initials: M
authors.lastname: Josephson
authors.forename: Jay W
authors.initials: JW
authors.lastname: Mason
authors.forename: Peter
authors.initials: P
authors.lastname: Okin
authors.forename: Borys
authors.initials: B
authors.lastname: Surawicz
authors.forename: Hein
authors.initials: H
authors.lastname: Wellens
mesh_terms: D001145:Arrhythmias, Cardiac / Q000175:diagnosis*; D004562:Electrocardiography / Q000592:standards* / Q000639:trends; D005544:Forecasting; D006801:Humans; D007391:International Cooperation; D012680:Sensitivity and Specificity; D012815:Signal Processing, Computer-Assisted; D014481:United States