E30 Digital Electrocardiograph User’s Manual
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E.4 Stability of Measurements against NOISE
E.4.1 Acceptance of minimum waves
The labeling of the QRS waveforms depends by definition (since Einthoven) on the first
detected wave. A tiny positive wave at QRS beginning is called r or R and may mask a true,
following Q wave. Therefore the acceptance criteria of initial waveforms should be clearly defined
and standardised.
The following rule for acceptance of minimum waves is used by wave detection:
a) The signal part under consideration shows clearly two opposite slopes with at least one turning
point in between;
b) The signal part under consideration deviate at least 30μV from the reference level for duration
of at least 6 ms.