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European ST-T Database

Use of downloaded data from this database is permitted for research and not for commercial use (i.e., testing commercial equipment for quality assessment according to ANSI-AAMI recommendations or other standards).

For commercial use, obtain the European ST-T Database CD-ROM (write to Alessandro Taddei <taddei@ifc.cnr.it> for further information).

In any publication making use of this database, please cite reference 4 from the list of references below. Please also include the standard citation for PhysioNet:

Goldberger AL, Amaral LAN, Glass L, Hausdorff JM, Ivanov PCh, Mark RG, Mietus JE, Moody GB, Peng C-K, Stanley HE. PhysioBank, PhysioToolkit, and PhysioNet: Components of a New Research Resource for Complex Physiologic Signals. Circulation 101(23):e215-e220 [Circulation Electronic Pages; http://circ.ahajournals.org/cgi/content/full/101/23/e215]; 2000 (June 13).

The European ST-T Database is intended to be used for evaluation of algorithms for analysis of ST and T-wave changes. This database consists of 90 annotated excerpts of ambulatory ECG recordings from 79 subjects. The subjects were 70 men aged 30 to 84, and 8 women aged 55 to 71. (Information is missing for one subject. Records e0118-e0122 come from the same subject; also records e0123-e0126, records e0129 and e0133, records e0136 and e0139, records e0147 and e0148, records e0154 and e0155, and records e0162 and e0163.) Myocardial ischemia was diagnosed or suspected for each subject (see reference 1); additional selection criteria were established in order to obtain a representative selection of ECG abnormalities in the database, including baseline ST segment displacement resulting from conditions such as hypertension, ventricular dyskinesia, and effects of medication. The database includes 367 episodes of ST segment change, and 401 episodes of T-wave change, with durations ranging from 30 seconds to several minutes, and peak displacements ranging from 100 microvolts to more than one millivolt. In addition, 11 episodes of axis shift resulting in apparent ST change, and 10 episodes of axis shift resulting in apparent T-wave change, have been marked. Compact clinical reports document each record. These reports, contained within the header (.hea) files associated with each record, summarize pathology, medications, electrolyte imbalance, and techical information about each recording.

Each record is two hours in duration and contains two signals, each sampled at 250 samples per second with 12-bit resolution over a nominal 20 millivolt input range. The sample values were rescaled after digitization with reference to calibration signals in the original analog recordings, in order to obtain a uniform scale of 200 ADC units per millivolt for all signals. (The calibration signals are not included in the signal files.) The header files include information about the leads used, the patient's age, sex, and medications, the clinical findings, and the recording equipment. Each of the signal files is 5,400,000 bytes long.

Two cardiologists worked independently to annotate each record beat-by-beat and for changes in ST segment and T-wave morphology, rhythm, and signal quality. ST segment and T-wave changes were identified in both leads (using predefined criteria which were applied uniformily in all cases), and their onsets, extrema, and ends were annotated. Annotations made by the two cardiologists were compared, disagreements were resolved by the coordinating group in Pisa (see reference 3), and the reference annotation files were prepared; altogether, these files contain 802,866 annotations. A detailed description of the annotations may be found here.

Over half (48 of 90 complete records, and reference annotation files for all records) of this database is freely available from PhysioNet. A list of all 90 record names is available here. (The signal files available here are those for records with names ending in an odd digit, 1, 3, 5, 7, or 9.) The remaining 42 signal files are available only on the European ST-T Database CD-ROM (write to Alessandro Taddei <taddei@ifc.cnr.it> for further information).

Acknowledgements

We thank Carlo Marchesi, Alessandro Taddei, and Michele Emdin of the CNR Institute for Clinical Physiology in Pisa for arranging for these recordings to be made available via PhysioNet. Our thanks also to Maarten L. Simoons, Simon Meij, and Johan H.C. Reiber, and to the European Society of Cardiology and its Working Group "Computers in Cardiology", for their support.

Completion of the European ST-T Database was made possible by the European Society of Cardiology. We also thank the many contributors whose efforts supported the creation of the Database.

References

  1. Taddei, A., Benassi, A., Biagini, A., Bongiorni, M.G., Contini, C., Distante, G., Landucci, L., Mazzei, M.G., Pisani, P., Roggero, N., Varanini, M., Marchesi, C. ST-T change analysis in ECG ambulatory monitoring: a European standard for performance evaluation. Computers in Cardiology 14:63-68 (1987).
  2. Marchesi, C. The European Community concerted action on Ambulatory Monitoring. Journal of Med. Eng. and Techn. 10:131-134 (1986).
  3. Taddei, A., Biagini, A., Distante, G., Marchesi, C., Mazzei, M.G., Pisani, P., Roggero, N., Zeelenberg, C. An annotated database aimed at performance evaluation of algorithms for ST-T change analysis. Computers in Cardiology 16:117-120 (1989).
  4. Taddei, A., Distante, G., Emdin, M., Pisani, P., Moody, G.B., Zeelenberg, C., and Marchesi, C. The European ST-T Database: standard for evaluating systems for the analysis of ST-T changes in ambulatory electrocardiography. European Heart Journal 13: 1164-1172 (1992).
  5. ANSI-AAMI EC38:1998 [American National Standard]. Ambulatory electrocardiographs. Association for the Advancement of Medical Instrumentation, 3330 Washington Boulevard, Suite 400, Arlington, VA 22201-4598, USA (1998).
  6. ANSI-AAMI EC57:1998 [American National Standard]. Testing and reporting performance results of cardiac rhythm and ST segment measurement algorithms. Association for the Advancement of Medical Instrumentation, 3330 Washington Boulevard, Suite 400, Arlington, VA 22201-4598, USA (1998).

The following files may be downloaded from this site:

Reference
annotations
Signals Header View waveforms *
e0103.atr e0103.dat e0103.hea
e0104.atr e0104.hea
e0105.atr e0105.dat e0105.hea
e0106.atr e0106.hea
e0107.atr e0107.dat e0107.hea
e0108.atr e0108.hea
e0110.atr e0110.hea
e0111.atr e0111.dat e0111.hea
e0112.atr e0112.hea
e0113.atr e0113.dat e0113.hea
e0114.atr e0114.hea
e0115.atr e0115.dat e0115.hea
e0116.atr e0116.hea
e0118.atr e0118.hea
e0119.atr e0119.dat e0119.hea
e0121.atr e0121.dat e0121.hea
e0122.atr e0122.hea
e0123.atr e0123.dat e0123.hea
e0124.atr e0124.hea
e0125.atr e0125.dat e0125.hea
e0126.atr e0126.hea
e0127.atr e0127.dat e0127.hea
e0129.atr e0129.dat e0129.hea
e0133.atr e0133.dat e0133.hea
e0136.atr e0136.hea
e0139.atr e0139.dat e0139.hea
e0147.atr e0147.dat e0147.hea
e0148.atr e0148.hea
e0151.atr e0151.dat e0151.hea
e0154.atr e0154.hea
e0155.atr e0155.dat e0155.hea
e0159.atr e0159.dat e0159.hea
e0161.atr e0161.dat e0161.hea
e0162.atr e0162.hea
e0163.atr e0163.dat e0163.hea
e0166.atr e0166.hea
e0170.atr e0170.hea
e0202.atr e0202.hea
e0203.atr e0203.dat e0203.hea
e0204.atr e0204.hea
e0205.atr e0205.dat e0205.hea
e0206.atr e0206.hea
e0207.atr e0207.dat e0207.hea
e0208.atr e0208.hea
e0210.atr e0210.hea
e0211.atr e0211.dat e0211.hea
e0212.atr e0212.hea
e0213.atr e0213.dat e0213.hea
e0302.atr e0302.hea
e0303.atr e0303.dat e0303.hea
e0304.atr e0304.hea
e0305.atr e0305.dat e0305.hea
e0306.atr e0306.hea
e0403.atr e0403.dat e0403.hea
e0404.atr e0404.hea
e0405.atr e0405.dat e0405.hea
e0406.atr e0406.hea
e0408.atr e0408.hea
e0409.atr e0409.dat e0409.hea
e0410.atr e0410.hea
e0411.atr e0411.dat e0411.hea
e0413.atr e0413.dat e0413.hea
e0415.atr e0415.dat e0415.hea
e0417.atr e0417.dat e0417.hea
e0418.atr e0418.hea
e0501.atr e0501.dat e0501.hea
e0509.atr e0509.dat e0509.hea
e0515.atr e0515.dat e0515.hea
e0601.atr e0601.dat e0601.hea
e0602.atr e0602.hea
e0603.atr e0603.dat e0603.hea
e0604.atr e0604.hea
e0605.atr e0605.dat e0605.hea
e0606.atr e0606.hea
e0607.atr e0607.dat e0607.hea
e0609.atr e0609.dat e0609.hea
e0610.atr e0610.hea
e0611.atr e0611.dat e0611.hea
e0612.atr e0612.hea
e0613.atr e0613.dat e0613.hea
e0614.atr e0614.hea
e0615.atr e0615.dat e0615.hea
e0704.atr e0704.hea
e0801.atr e0801.dat e0801.hea
e0808.atr e0808.hea
e0817.atr e0817.dat e0817.hea
e0818.atr e0818.hea
e1301.atr e1301.dat e1301.hea
e1302.atr e1302.hea
e1304.atr e1304.hea

(*) You may follow these links to view the signals and atr annotations using WAVE if it has been installed and set up as a helper application for your web browser. See What are .xws files and how can I view them? in the PhysioNet FAQ.
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Updated Friday, 15-Aug-2008 11:09:43 EDT National Institute of Biomedical Imaging and Bioengineering National Institutes of Health National Institute of General Medical Sciences