CER-S, an ECG Platform for the Management of Continuous ECG Recordings and Databases

We introduce three new databases of ambulatory Continuous ECG Recordings. The databases consist of 24-hour Holter records acquired in clinical practice from various acquisition devices, including longer recordings from new patch devices. All cardiac events, both rhythm and beat annotations, have been manually reviewed and adjusted by an expert cardiologist with more than 25 years of experience on reviewing Holter data. ECG recordings are organized in different categories based on the predominant arrhythmic events. The databases (total of 1300 records) have been annotated and can be reviewed by CER-S, a software platform used to manage multi-vendor continuous ECG data. CER-S includes two automatic algorithms: 1) ABILE, for the detection of ECG beats and for arrhythmia assessment and 2) BRAVO for the quantitative measurement of the ECG waveforms), either at the beat level or on Time-averaged templates. CER-S has a rich graphical interface with several tools for optimal review and editing both at the ECG beat and arrhythmia level. The tool allows manual entry of other arrhythmia not yet automatically detected by ABILE algorithm and the customization of a clinical report.