Synopses & Reviews
The Minnesota Code Manual presents a systematic, objective measuring system for electrocardiographic findings in clinincal trials and population studies of cardiovascular disease. The first edition published in 1982 classifies endpoints of clinical trials and characterizes arrhythmias and conduction defects. This edition also provides standard procedure for the codes application by trained medical or technical personnel. In addition, it is used by experienced investigators to teach measurement and coding of the ECG in the Core ECG Lab. The Minnesota Code incorporates standardized measurement rules for ECG waveform features with quantitiative, unambiguous and objective ECG criteria which provide mutally exclusive defined categories of the major ECG findings (both normal and abnormal), including those representing myocardial necrosis, injury, ischemia, hypertrophy, conduction defects and arrhythmias. Although the Minnesota Code does not provide diagnostic labels, it is understood by clinicians concerned with diagnostic endpoints. The Minnesota Code also ensures that ECG data from national or international studies are comparable in terms of the prevalence and incidence of abnormal findings. Updated to reflect changes in understanding over the last 20 years, this title provides the benchmark for coding in electrocardiographic applications. The Minnesota Code Manual of Electrocardiographic Findings constitutes an essential source of reference for clinical trials and population-based cardiovascular studies.
Synopsis
This book provides quantitative validated rules for evaluating serial electrocardiographic change. It has been updated to reflect changes in understanding over the last twenty years, thus it is the benchmark for coding in ECG applications.
Table of Contents
Preface for the second edition.- Preface for the first edition.- Acknowledgments.- 1 What is the Electrocardiogram or ECG? The Electricity Part of the ECG.- 2 ECG Leads Bipolar Limb Leads (I, II, III) / Unipolar Limb Leads (aVR, aVL, aVF) / Chest Leads (V1, V2, V3, V4, V5, V6).- 3 Measuring Devices Recording Paper Grid / Measuring Loupe / Plastic Ruler / Calibration Deflection / Beats to Be Measured / Mathematical Symbols.- 4 Q-QS Waves (1-Codes).- 5 Frontal Plane QRS Axis (2-Codes).- 6 High R-Waves (3-Codes).- 7 ST Segment Depression (4-Codes) and Negative T-Waves (5-Codes).- 8 Atrioventricular (A-V) Conduction Defects (6-Codes).- 9 Intraventricular Conduction Defects (7-Codes).- 10 Arrhythmias (8-Codes).- 11 Miscellaneous Codes (9-Codes).- 12 Exact Measurements Frontal Plane QRS Axis / Amplitude Measurements / Q-X, Q-T Intervals.- 13 Coding the Whole ECG Coding Hierarchy / Data Recording.- 14 ECG Data Acquisition Procedures and Maintenance of Recording Quality including Technician Training Twelve-Lead Rest ECG Using Single Channel Recorder / Twelve-Lead ECG Using Multichannel Recorder / Minimizing Biologic Variability.- 15 Criteria for Significant ECG Pattern Change.- 16 ECG Indices That Add to Independent Prognostication for Cardiovascular Disease Outcomes.- 17 Quality Control of Visual and Electronic Coding.- Appendix I Minnesota Code 2009 Q and QS Patterns / QRS Axis Deviation / High Amplitude R-Waves / ST Junction (J) and Segment Depression / T-Wave Items / A-V Conduction Defect / Ventricular Conduction Defect / Arrhythmias / ST Segment Elevation / Miscellaneous Items / Incompatible Codes .- Appendix II Novacode and Minnesota Code Equivalents.- Appendix III Major and Minor ECG Abnormalities for Population Comparisons with Minnesota Code and Novacode Equivalents