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Comen N10 - VI.3 Interval Measurements; VI.4 Stability of Measurements against Noise

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EMC
VI-13
VI.3 Interval Measurements
With respect to intervals, the global QT interval is measured from the global QRS onset to the global T end. On the
other hand, because the P onset is taken as being simultaneous in all 12 leads, the global PR interval measurement
is from the P onset to the global QRS onset.
VI.4 Stability of Measurements against Noise
Acceptance of minimum waves
The labelling 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 standardized
the following rule for acceptance of minimum waves is used:
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 deviates at least 30 μV from the reference level for a duration of at least 6
ms (see Figures 6 and GG);
c) this results in acceptance criteria for minimum waves with observable durations of about 12 ms and amplitudes
30 μV.
Figure 6 Detail of small accepted R-wave
Figure 7 Detail of small rejected R-wave
Disclosure for changes of measurements caused by noise on ECGs according to Table HH.3
Global measurement
Type of added noise
Disclosed difference
Mean (ms)
Standard deviation (ms_
P-duration
High-frequency
1.2
2.62
P-duration
Line-frequency (50Hz)
-1.6
3.50
P-duration
Line-frequency (60Hz)
1.3
6.67
P-duration
Baseline
-0.8
5.73
QRS-duration
High-frequency
0.6
2.62
QRS-duration
Line-frequency (50Hz)
-3
7.757
QRS-duration
Line-frequency (60Hz)
-2.7
6.11
QRS-duration
Baseline
0.5
3.50

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