Make the Holter ECG analysis in three easy steps with BTL CardioPoint®

Summary

This video provides a detailed guide on how to perform a 24-hour Holter ECG analysis using the BTL CardioPoint Holter diagnostic system. It covers key steps such as signal classification, automatic diagnostics, and quick review modules for arrhythmias and ST changes. The tutorial highlights tools like the Caliper for precise measurements, graphical data presentation, and customizable reporting features. It emphasizes the efficiency of the system for both diagnostic accuracy and user convenience, with the final step being the creation of a comprehensive patient report for printing or saving as a PDF.

Takeaways

• 😀 Signal classification is the first step in Holter ECG analysis, where beats are grouped based on their shape and ECG classification.
• 😀 The BTL CardioPoint Holter system uses 11 templates for heartbeats, ranging from pathological to normal, including categories like ventricular and supraventricular extrasystoles.
• 😀 The 'Q' template identifies undeterminable beats, which should be carefully reviewed by the doctor for potential diagnostic significance.
• 😀 Doctors can navigate through the templates using arrow icons, navigation panel buttons, or keyboard shortcuts to confirm the accuracy of beat classifications.
• 😀 The 'Undo' and 'Redo' buttons help correct mistakes while working with the ECG recording.
• 😀 The Quick Diagnostics Review step provides a summary of important diagnostic values and trends, including patient activity and heart rate.
• 😀 The Events module allows quick review and editing of events in chronological order and enables snapshot creation for inclusion in the report.
• 😀 The Arrhythmias module provides detailed analysis of rhythm disturbances, including event start and end times, duration, and heart rate.
• 😀 The ST module helps in analyzing changes in the ST segment and includes options for detailed measurements using the Caliper tool.
• 😀 The QT and PQ (PR) modules automatically analyze intervals and present results in various forms, such as tabular data, scattergrams, histograms, and trend graphs.
• 😀 The Overview module displays recorded data in a tabular format, making it easier to review statistics computed over different time periods.
• 😀 The Report and Printing step allows customization of the final Holter examination report, including selecting pages, adding parameters, and generating conclusions.

Q & A

What is the first step in the Holter ECG analysis using the BTL CardioPoint Holter system?

The first step is Signal Classification, where beats from the Holter ECG record are automatically divided into distinct groups based on their shape and ECG classification.

How are the ECG beats classified in the BTL CardioPoint Holter system?

ECG beats are classified into 11 templates, arranged from pathological to normal. These include categories like ventricular extrasystoles, supraventricular extrasystoles, and normal complexes. There is also a Q template for undetermined beats and an Artifacts template for distorted complexes.

What does the doctor need to do during the Signal Classification step?

The doctor must review all templates to ensure that the program has correctly classified the heartbeats. This is done by checking each template and adjusting classifications as needed.

What tools are available for reviewing ECG beats in the templates?

The doctor can use arrow icons, navigation panel buttons, or keyboard keys to move through the beats in the template. The ECG can also be viewed in Full View, Tiles View, or Full Screen to assist with analysis.

What does the Q template represent, and why is it important?

The Q template contains beats that the program cannot automatically classify into a specific type of morphology. These beats require careful review by the doctor, as they may contain diagnostically significant information.

What does the Summary module provide in the Holter ECG analysis?

The Summary module offers a quick overview of potentially important diagnostic values. It also includes a Histogram and Trend components, which provide graphical and trend data computed from the items in the Summary Table.

How does the Trend component in the Summary module help with analysis?

The Trend component displays trends over time, showing the patient's activity (rest or activity) alongside heart rate and other ECG data, which helps in analyzing changes in the patient's condition.

What is the purpose of the Arrhythmias module in BTL CardioPoint Holter?

The Arrhythmias module provides analysis of all detected rhythm disturbances. It includes a detailed table of events, allowing the doctor to inspect the duration, average heart rate, and other characteristics of each arrhythmic episode.

How does the ST module assist in Holter ECG analysis?

The ST module helps in analyzing changes in the ST segment, which can be presented in tabular form or as a Trend graph. It also allows the doctor to review ST segment data in relation to the patient's activity and heart rate trends.

What is the role of the Report and Printing module in the final analysis process?

The Report and Printing module allows the doctor to set up and generate the final report for the Holter examination. It includes selecting pages, adding parameters, writing medical findings, and previewing the report before printing or saving it as a PDF.