Abstract
C ardiologists and administrators, concerned with the increasing volume of hospital electrocardiograms (ECG’s), are considering automation as a means of saving money and manpower. The initial cost for computer systems for ECG processing is high and prospective purchasers should fully understand the limitations as well as the capabilities of these systems for clinical use. In a collaborative study with the Medical Systems Development Laboratory of the United States Public Health Service, the Heart Station of the George Washington University Hospital used computer-derived ECG interpretations as part of its routine ECG processing from 1964 to 1968. Computer processing7 was performed by the Medical Systems Development Laborat0ry.l Members of the Heart Station staff assisted in the development of diagnostic criteria and in the evaluation of the programe2 This report describes the operation of the computer system in our institution over a 12 month period, presents an analysis of the system with emphasis on the accuracy of ECG interpretation, and evaluates computer analysis of the ECG for use in hospital practice.
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