百年心电绽芳华:心电图临床应用进展及展望

Centennial electrocardiology blossoms again:Progress and prospect of clinical application of electrocardiogram

心电图应用于临床已有120年历史,至今仍是临床最重要的常规检查之一。远程心电、便携心电和云心电平台的加速普及给心电插上了翅膀,把心电技术从医院推向社会、家庭乃至每一个人。体表三维电解剖标测的问世使抽象的心电图形得以可视化呈现,能清楚揭示心律失常的起源和心电信号的传导过程,相当于为心电图做了“病理解剖”般的金标准验证诊断。人工智能心电通过深度学习更能挖掘出既往心电所不能解读的领域,大大拓展了心电的内涵。本文简要回顾了120年来心电图技术从远程心电、三维心电、便携心电直到人工智能心电的发展历程,并展望了未来心电图技术的发展趋势。

Since its first clinical application 120 years ago,electrocardiogram(ECG)has still been one of the most important routine examinations in clinical practice till now.The accelerated popularity of remote,portable ECG and cloud ECG platforms promotes ECG technology-from hospitals to the society,family and even every one.The arrival of body surface three-dimensional electroanatomical mapping visualizes the presentation of abstract ECG morphologies,and clearly reveals the origin of arrhythmia and ECG signal conduction process.This amounts to a“pathological anatomy”like gold-standard validation diagnosis for the ECG.Through deep learning,artificial intelligence(AI)-ECG can explore the fields that cannot be interpreted by ECG before,which greatly expands the connotation of ECG.This paper briefly reviews the development process of ECG technology from remote ECG,three-dimensional ECG and portable ECG to AI-ECG in the past 120 years,and looks forward to its development trend in the future.