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The European ST-T database: standard for evaluating systems for the analysis of ST-T changes in ambulatory electrocardiography
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1992
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Heart FailureRemote Patient MonitoringMeasurementWearable TechnologyEuropean St-t DatabaseElectrophysiological EvaluationKinesiologyBiosignal ProcessingElectrocardiographyEcg DatabasePatient MonitoringInstrumentationCardiologyCardiovascular ImagingHealth SciencesSt-t ChangesEuropean CommunityAecg TapesPerioperative MonitoringBioinstrumentationPatient SafetyHealth MonitoringElectrophysiologyAmbulatory ElectrocardiographyMedicineHealth InformaticsEmergency MedicineAnesthesiology
The European ST‑T database was initiated in 1985 as part of a European Community Concerted Action on ambulatory monitoring and later sponsored by the European Society of Cardiology in 1989. Its purpose was to prototype an ECG database for evaluating the quality of ambulatory ECG monitoring systems. The database was built through a collaboration of thirteen research groups from eight countries, who annotated 90 two‑hour, two‑channel AECG recordings beat‑by‑beat for ST and T‑wave changes, QRS complexes, rhythm, and signal quality, using an annotation scheme harmonized with MIT‑BIH and AHA formats. The completed database contains 90 records with 372 ST and 423 T changes and is distributed on CD‑ROM.
The project for the development of the European ST-T annotated Database originated from a 'Concerted Action' on Ambulatory Monitoring, set up by the European Community in 1985. The goal was to prototype an ECG database for assessing the quality of ambulatory ECG monitoring (AECG) systems. After the 'concerted action', the development of the full database was coordinated by the Institute of Clinical Physiology of the National Research Council (CNR) in Pisa and the Thoraxcenter of Erasmus University in Rotterdam. Thirteen research groups from eight countries provided AECG tapes and annotated beat by beat the selected 2-channel records, each 2 h in duration. ST segment (ST) and T-wave (T) changes were identified and their onset, offset and peak beats annotated in addition to QRSs, beat types, rhythm and signal quality changes. In 1989, the European Society of Cardiology sponsored the remainder of the project. Recently the 90 records were completed and stored on CD-ROM. The records include 372 ST and 423 T changes. In cooperation with the Biomedical Engineering Centre of MIT (developers of the MIT-BIH arrhythmia database), the annotation scheme was revised to be consistent with both MIT-BIH and American Heart Association formats.