ANSI/AAMI/ISO EC57:1998 (R2008) (ANSI/AAMI/ISO EC 57:1998 (R2008))

Testing and reportingperformance resultsof cardiac rhythmand ST-segmentmeasurement algorithms

The availability of annotated arrhythmia and ST databases has permitted different automated arrhythmia detection algorithms to be tested on the same data. This recommended practice provides a protocol for a reproducible test with realistic clinical requirements, and emphasizes record-by-record presentation of results that reflect an algorithm's ability to detect events of clinical significance. Beat-by-beat comparisons are used to measure performance in QRS (see 2.7), ventricular ectopic beat (VEB), and supraventricular ectopic beat (SVEB) detection. Run-by-run comparisons are used to measure an algorithm's ability to detect consecutive VEBs and SVEBs. Detection of ventricular flutter, atrial flutter, ventricular fibrillation, and atrial fibrillation are addressed. The evaluation of heart-rate variability measurement algorithms and ST segment measurement algorithms are also examined