World Leading Software for ECG Analysis
An ECG is considered the single most important initial clinical test in the evaluation of an acute coronary syndrome, which includes what is commonly known as a heart attack. Correct interpretation of the ECG, particularly in an ambulance or emergency department, is usually the basis for immediate therapeutic interventions and/or subsequent diagnostic tests.
Developed by Professor Peter Macfarlane and his team in the Institute of Cardiovascular and Medical Sciences (Glasgow Royal Infirmary), the University of Glasgow ECG Analysis Program has been adopted commercially and applied world-wide. It is now used globally by some of the world’s leading electro-medical device manufacturers and has been continually improved since its initial development, allowing it to stay abreast of the latest advancements in electrocardiographic research. Such research in Glasgow has also significantly influenced international guidelines for diagnosing a heart attack from the ECG.
The software is a massive export success with an estimated 20 million patients a year worldwide coming into contact with the technology on the basis of units sold. In 2007, after dealing across the globe, the University struck its first Scottish license deal with a small-to-medium-sized-enterprise, Inverness-based Dan Medical.
The ECG software was first licensed to Siemens Elema, based in Sweden, in 1981 when commercialization of University work was rare. The University’s first Industrial Liaison Office had not even been formed then!! This link with Siemens led to the Glasgow program being incorporated into the Burdick range of ECG machines which are nowadays the most widely used ECG machines in family practitioner offices in North America.
The Glasgow diagnostic criteria have more recently been incorporated into a new patient monitor/defibrillator which was introduced to the world market by Seattle based Medtronic Physio Control in the Spring of 2009. Since its introduction, several hundred units have been sold to Ambulance Services in the United Kingdom alone. The London Ambulance Service (LAS) in particular is now a significant user of the product. The LAS particularly appreciated and understood the reasons for the use of age, gender and race in the Glasgow criteria. This means that for major events in the Greater London area, such as the 2012 Olympic Games, the Glasgow ECG analysis program will be in the forefront of accident and emergency work.
Glasgow Interpretive Algorithm Arrhythmias
Statements (Adults) - Normal (NL), Left ventricular perthyrophy (LVH), Right ventricular hypertrophy (RVH), Right and left ventricular hypertrophy (BVH), Anterior myocardial infarction (AMI), Inferior myocardial infarction (IMI), Anterior and inferior myocardial infarction (MIX), Ventricular hypertrophy and myocardial infarction VH+MI, User Defined
Statements (Pediatrics) - Normal (NL), Left ventricular hypertrophy (LVH), Right ventricular hypertrophy (RVH), Right and left ventricular hypertrophy (BVH), Possible right atrial abnormality, Possible left atrial abnormality, Possible biatrial abnormality, Abnormal ventricular conduction pathways (Q waves), Borderline high QRS voltage – probable normal variant
Conduction Defects (Adults) - Right bundle branch block (RBBB), Left bundle branch block (LBBB), RBBB with Left anterior fascicular block (LAFB), Incomplete RBBB rSr' V1, Intra ventricular conduction defect (IVCD), Wolf Parkinson White (WPW), Possible LAFB
Conduction Defects (Pediatrics) - Right bundle branch block (RBBB), Left bundle branch block (LBBB), Incomplete RBBB, rSr' V1 probable normal variant, Intra ventricular conduction defect (IVCD), Wolf Parkinson White pattern (WPW)
ECG Findings (Adults) - Left axis deviation (LAD), Leftward axis, Right axis deviation (RAD), Severe RAD, Rightward axis, Nonspecific ST • T changes, rSr' – probable normal variant, Poor R wave progression
ECG Findings (Pediatrics) - Left axis deviation (LAD), Indeterminate axis, Right axis deviation (RAD), Severe RAD, QRS axis leftward for age, Nonspecific ST • T changes, ST elevation
Rhythms - Sinus, Sinus bradycardia, Atrial fibrillation, Sinus arrhythmia, Sinus tachycardia, Sinus bradycardia with sinus arrhythmia, Atrial Flutter, Possible atrial flutter, Possible ectopic atrial rhythm, possible ectopic atrial bradycardia, A-V dissociation, Possible atrial fibrillation, Probable accelerated junctional rhythm, Probable supraventricular tachycardia, Probable sinus tachycardia, Sinus tachycardia with sinus arrhythmia, Irregular ectopic atrial bradycardia, Probable atrial tachycardia, Marked sinus bradycardia, Possible junctional rhythm, Regular supraventricular rhythm. Ventricular tachycardia, Ventricular Fibrillation, Ventricular Flutter
Pacing - Atrial Pacing, Demand Atrial Pacing, Ventricular pacing, A-V Sequential Pacemaker, Demand pacing