Semiautomated data reduction of ventricular ectopic activity: methodology and clinical application

A semiautomated ventricular premature beat (VPB) detector was developed which detects VPBs based upon a logical combination of prematurity, amplitude, and width. This system utilizes technicians to define sensitivity and criteria of VPB detection and to monitor the system's performance using a unique feedback system. Technician-assisted semiautomated scanning was found superior both to the system using preselected criteria and sensitivity of the detectors, and to traditional Holter scanning for the detection of single and repetitive VPBs. Ninety percent confidence limits of VPB frequency per hour have been established for this system.