Philips DXL 16-Lead ECG Algorithm

The new generation in ECG interpretation

 

The Philips DXL ECG Algorithm, developed by the Advanced Algorithm Research Center, uses sophisticated analytical methods for interpreting the resting ECG. While in the past ECG analysis programs were limited to 12 simultaneous leads, the DXL ECG Algorithm analyzes up to 16-leads of simultaneously acquired ECG waveforms to provide an interpretation of rhythm and morphology for a wide variety of patient populations. The algorithm reflects

newly updated guidelines and recommendations, such as the 2007 AHA/ACCF/HRS Recommendations Part II1, and the 2009 AHA/ACCF/HRS Recommendations Part VI2 for the Standardization and Interpretation of the ECG.

 

Expanded Diagnostic Capabilities

 

The Philips DXL ECG Algorithm goes beyond traditional 12-lead interpretation of the resting ECG. It also provides for incremental diagnostic capabilities not associated with analysis programs of the past:

  • 16-lead integrated analysis to take advantage of optional right chest and back electrodes to provide extended interpretations for adult chest pain
  • ST Maps to provide a visual representation of ST deviations in frontal and horizontal planes, responding to the 2009 Recommendations
  • Updated criteria based upon the latest clinical research. Examples include the addition of “acute global ischemia” and incorporation of updated gender-specific STEMI criteria, as documented in the 2009 Recommendations
  • STEMI-CA (Culprit Artery) criteria to suggest the probable site of the occlusion, consistent with the 2009 AHA/ACCF/HRS Recommendations
  • Critical Values to highlight conditions requiring immediate clinical attention
  • Integrated 15-lead pediatric analysis
  • LeadCheck program to identify 19 possible lead reversal and placement errors during ECG acquisition
  • Updated statements to reflect new 2007 AHA/ACCF/HRS Recommendations

 

The DXL ECG Algorithm is available on the PageWriter TC70 and TC50 Cardiograph with the features and capabilities described above. The DXL ECG Algorithm is also available on the PageWriter TC30 and HeartStart MRx Monitor/Defibrillator with a differentiated set of features.


1 AHA/ACCF/HRS Recommendations for the Standardization and Interpretaton of the Electrocardiogram, Part II: Electrocardiography Diagnostic Statement List. J Am Coll Cardiology, 2007:49:1128-135.

 

2 AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part VI: Acute Ischemia/Infarction. Circulation 2009; 100:e262-e270.

 

 

 

 

 

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