Electrocardiography system

• US 4,341,225 A
• Filed: 07/31/1980
• Issued: 07/27/1982
• Est. Priority Date: 07/31/1980
• Status: Expired due to Term

• Current Assignee: Belgrave Industries Incorporated
• Original Assignee: Hittman Corporation
• Inventors: Palmer, Walter E., Gallant, Stuart L., Woods, Samuel
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/174,271
• Time in Patent Office: 726 Days
• Field of Search: 128/696, 128/702, 128/703, 128/704, 128/706, 128/709, 128/710, 128/712
• US Class Current: 600/523
• CPC Class Codes: A61B 2562/226 comprising means for identifying the connector, e.g. to prevent incorrect connection to socket
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/304 Switching circuits
• CPC Class Codes: Y10S 128/902 Biological signal amplifier

Abstract

An improved electrocardiography system displays and records electrocardiograph (ECG) signals provided on multiple pickup leads attached to a patient. The system has the capability of selectively displaying standard preprogrammed lead configurations or lead groups, and provides the operator with the additional capability of programming selected leads from various groups to form a "monitor group". Selected ECG signals are routed to a four-channel oscilloscope and a three-channel strip-chart recorder, the system providing the operator with a "freeze" capability such that a signal appearing on one of the oscilloscope channels may be displayed in a stationary state on the fourth oscilloscope channel, and subsequently printed out on the strip chart recorder. The system further provides an "auto lead" capability for fully automated successive recording of test data from leads in successively accessed conventional lead groups, and further provides an "auto cycle" mode of operation for fully automated repetitive recording of test data from selected leads for operator-designated recording times and at operator-designated time intervals.

Claims

1. An electrocardiography system for displaying, in accordance with an operator input, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said system comprising:

selector means responsive to said operator input for selecting a corresponding group of said pickup leads;

processing means for processing said ECG data from said corresponding group of said pickup leads to develop respective processed outputs;

display means including a plurality of display channels for providing each one of said respective processed outputs on a corresponding one of said display channels in accordance with said operator input; and

recording means including a plurality of recording channels for recording each said respective ECG data on a corresponding one of said recording channels in accordance with said operator input;

wherein each said group comprises a predetermined number of said pickup leads, and wherein said plurality of display channels includes a given number of channels, equal in number to said predetermined number of said pickup leads, a spare channel, and operator actuator means for selecting one of said given number of channels and for actuating said spare channel to record thereon said respective ECG data from said selected one of said given number of channels;

said system including switch means connected between said selector means and said display means, on the one hand, and said recording means, on the other hand, said switch means being responsive to said operator input for making a selection between said respective ECG data from each said pickup lead, said displayed respective ECG data from said display means, and said respective ECG data from said selected one of said given number of said channels as recorded on said spare channel, and for providing said selection to said recording means.

2. The system of claim 1, further comprising program monitor group select means for designating one of a plurality of program monitor groups and comprising individual pickup leads selected from various ones of said program monitor groups.

3. The system of claim 1, wherein said display means automatically displays said each one of said respective processed outputs for a predetermined time duration.

4. The system of claim 1, wherein said processing means comprises a plurality of ECG amplifiers, one for each pickup lead in said corresponding group of said pickup leads.

5. The system of claim 1, wherein said processing means comprises a plurality of gain filter units, one for each pickup lead in said corresponding group of said pickup leads, for gain-adjusting said ECG data received over said each pickup lead.

6. An electrocardiography system for displaying, in accordance with an operator input, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said system comprising:

selector means responsive to said operator input for selecting a corresponding group of said pickup leads, and for providing respective ECG data from each said pickup lead in said corresponding group of said pickup leads;

display means including a plurality of display channels of a number equal to at least said number of pickup leads in said corresponding group of pickup leads for displaying each said respective ECG data on a corresponding one of said display channels in accordance with said operator input; and

recording means including a plurality of recording channels for recording each said respective ECG data on a corresponding one of said recording channels in accordance with said operator input;

wherein each said group comprises a predetermined number of said pickup leads, and wherein said plurality of display channels includes a given number of channels, equal in number to said predetermined number of said pickup leads, a spare channel, and operator actuator means for selecting one of said given number of channels and for actuating said spare channel to record thereon said respective ECG data from said selected one of said given number of channels;

said system including switch means connected between said selector means and said display means, on the one hand, and said recording means, on the other hand, said switch means being responsive to said operator input for making a selection between said respective ECG data from each said pickup lead, said displayed respective ECG data from said display means, and said respective ECG data from said selected one of said given number of said channels as recorded on said spare channel, and for providing said selection to sid recording means.

7. The system of claim 6, said display means including freeze control means for freezing said respective ECG data from said selected one of said given number of channels as recorded on said spare channel.

8. An electrocardiography system for displaying, in accordance with an operator input provided via control console switches, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said operator input designating a group of said pickup leads, said system comprising:

lead switching means for receiving, selecting and switchably routing said ECG data from a group of said pickup leads designated by said operator input to provide a lead switching output;

control means for processing said lead switching output to derive respective processed outputs; and

display means including a plurality of display channels for displaying, as an output thereof, each one of said respective processed outputs on a corresponding one of said display channels in accordance with said operator input;

wherein said lead switching means comprises a lead switching unit connected to said plurality of pickup leads, and a plurality of amplifiers, one for each pickup lead in said group of pickup leads designated by said operator input, each of said plurality of amplifiers amplifying said ECG data from a respective lead in said group of pickup leads designated by said operator input so as to provide corresponding amplified outputs comprising said lead switching output;

wherein each of said plurality of amplifiers comprises a differential amplifier for receiving and amplifying a corresponding one of said received, selected and switchably routed ECG data from a corresponding one of said pickup leads of said group of said pickup leads designated by said operator input, said differential amplifier having two inputs and an output, threshold circuit means connected to said output of said differential amplifier for detecting an overvoltage in said output of said differential amplifier, and analog switch means responsive to detection by said threshold circuit means of said overvoltage for grounding said inputs of said differential amplifier until said overvoltage subsides.

9. The system of claim 8, wherein said control means generates control signals in response to said operator input, and wherein said lead switching unit comprises:

buffer means for buffering said ECG data from said pickup leads;

resistor network means for grouping said plurality of pickup leads and for electrically combining said ECG data from said plurality of pickup leads, so as to form a further plurality of ECG output signals;

a plurality of analog switches, one for each of said plurality of display channels, responsive to said operator input and to said control signals from said control means for selecting a corresponding one of said further plurality of ECG output signals, and for routing said selected corresponding one of said further plurality of ECG output signals to a corresponding one of said display channels designated by said operator input; and

buffer means, one for each of said plurality of display channels, for buffering said selected and routed corresponding one of said further plurality of ECG output signals.

10. An electrocardiography system for displaying, in accordance with an operator input provided via control console switches, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said operator input designating a group of said pickup leads, said system comprising:

lead switching means for receiving, selecting and switchably routing said ECG data from a group of said pickup leads designated by said operator input to provide a lead switching output;

control means for processing said lead switching output to derive respective processed outputs; and

display means including a plurality of display channels for displaying, as an output thereof, each one of said respective processed outputs on a corresponding one of said display channels in accordance with said operator input;

wherein said lead switching means comprises a lead switching unit connected to said plurality of pickup leads, and a plurality of amplifiers, one for each pickup lead in said group of pickup leads designated by said operator input, each of said plurality of amplifiers amplifying said ECG data from a respective lead in said group of pickup leads designated by said operator input so as to provide corresponding amplified outputs comprising said lead switching output;

wherein each of said plurality of amplifiers comprises an analog switch for normally passing said ECG data to the output of said each of said plurality of amplifiers, and responsive to a control signal from said control means for blocking said ECG data and for passing a calibration signal to the output of said each of said plurality of amplifiers.

11. The system of claim 10, wherein said control means generates control signals in response to said operator input, and wherein said lead switching unit comprises:

buffer means for buffering said ECG data from said pickup leads;

resistor network means for grouping said plurality of pickup leads and for electrically combining said ECG data from said plurality of pickup leads, so as to form a further plurality of ECG output signals;

a plurality of analog switches, one for each of said plurality of display channels, responsive to said operator input and to said control signals from said control means for selecting a corresponding one of said further plurality of ECG output signals, and for routing said selected corresponding one of said further plurality of ECG output signals to a corresponding one of said display channels designated by said operator input; and

buffer means, one for each of said plurality of display channels, for buffering said selected and routed corresponding one of said further plurality of ECG output signals.

21. The system of any one of claims 8, 10 or 12, further comprising program monitor group select means responsive to said operator input for designating a plurality of pickup leads comprising a special monitor group selected by the operator.

22. The system of claim 21, said system including control console switches indicating operator selection of a plurality of pickup leads comprising a program monitor group selected by the operator, said control console switches being responsive to said operator selection for issuing control signals, said program monitor group select means including at least one encoder for receiving and encoding said control signals from said control console switches, and issuing a monitor lead code for each selected pickup lead in said special monitor group, said console switches being further settable by the operator to designate display channels selected by the operator for display of said selected pickup leads, said program monitor group select means including logic means responsive to said selection of display channels by the operator for producing a coded output corresponding thereto, said program monitor group select means further comprising a comparator circuit for comparing the various channels selected by the operator for display of the selected pickup leads, said comparator circuit being responsive to selection by the operator of the same channel for display of a plurality of pickup leads for issuing a disable signal disabling said logic means from encoding said channel selection by said operator.

12. An electrocardiography system for displaying, in accordance with an operator input provided via control console switches, electrocardiograph data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said operator input designating a group of said pickup leads, said system comprising:

lead switching means for receiving, selecting and switchably routing said ECG data from a group of said pickup leads designated by said operator input to provide a lead switching output;

control means for processing said lead switching output to derive respective processed outputs; and

display means including a plurality of display channels for displaying, as an output thereof, each one of said respective processed outputs on a corresponding one of said display channels in accordance with said operator input;

wherein said lead switching means comprises a lead switching unit connected to said plurality of pickup leads, and a plurality of amplifiers, one for each pickup lead in said group of pickup leads designated by said operator input, each of said plurality of amplifiers amplifying said ECG data from a respective lead in said group of pickup leads designated by said operator input so as to provide corresponding amplified outputs comprising said lead switching output;

wherein said control means comprises;

gain adjust means for receiving and attenuating said lead switching output to develop corresponding attenuated outputs, said corresponding attenuated outputs being provided to respective ones of said plurality of amplifiers in said lead switching means;

said respective ones of said plurality of amplifiers each comprising a first differential amplifier for filtering in accordance with a first frequency to provide a first filtered output, and a second differential amplifier for filtering in accordance with a second frequency to provide a second filtered output;

said control means further comprising switch means receiving said first and second filtered outputs and being responsive to said operator input for selectively providing one of said first and second filtered outputs as an output of said switch means;

said output of said switch means comprising said respective processed outputs of said control means;

said control means further comprising direct/delay switching means for receiving said output of said switch means and said output of said display means, and being responsive to said operator input for selectively providing at least one of said output of said switch means and said output of said display means as a further plurality of respective processed outputs of said control means for recording.

13. The system of claim 12, wherein said gain adjust means comprises a plurality of selectable resistors for electrically processing said lead switching output.

14. The system of claim 12, said control means comprising a control circuit responsive to said operator input for automatically generating a calibration output provided to each of said plurality of amplifiers, whereby to provide a calibration signal in each of said display channels.

15. The system of claim 12, said control means comprising a control circuit responsive to said operator input for automatically and periodically generating a calibration output provided to each of said plurality of amplifiers, whereby to provide a periodic calibration signal in each of said display channels.

16. The system of claim 12, said control means further comprising a processor and a processor interface unit, said processor interface unit receiving said operator input, said operator input designating operator selection of said plurality of pickup leads providing ECG data for display, said processor interface unit including an encoder responsive to said operator input for providing a corresponding digital coded output to said processor.

17. The system of claim 12, said system comprising a chart recorder for recording said each one of said respective processed outputs on a corresponding recording track on chart paper moving through said chart recorder, said chart paper comprising a plurality of sheets, each having a beginning portion, said control means further comprising a processor and a processor interface unit, said processor controlling said chart recorder to move said paper therethrough, said processor interface unit comprising means for sensing the beginning portion of each said sheet of said chart paper and providing a detection signal to said processor, said processor being responsive thereto for stopping said chart paper at the beginning portion of said sheet.

18. The system of claim 12, said control means further comprising a processor and a processor interface unit, said processor being responsive to said operator input for providing a decoded output indicating said group of pickup leads designated by said operator input, said processor interface unit including decoder circuitry responsive to said decoded output of said processor for providing corresponding driver signals, one for each of said group of pickup leads which can be designated by said operator input, said system including a control console having group indicator lamps, said decoding means providing said corresponding driver output signal to a corresponding one of said group indicator lamps for indicating to the operator the selected group.

19. The system of claim 12, wherein said operator input includes an auto lead signal designating operator selection of a first mode of operation, said first mode of operation comprising selective and successive display by said system of ECG data from a predetermined set of groups of pickup leads, said operator input further comprising an auto cycle selection signal designating operator selection of a second mode of operation, said second mode of operation comprising continuous automatic display of said ECG data from said group of pickup leads designated by said operator input, said control means further comprising a processor and a processor interface unit, said processor being responsive to said auto lead selection signal and said auto cycle selection signal for producing corresponding first and second control outputs, said system including a control console having an auto lead lamp for indicating when said operator has selected said first mode of operation, said processor interface unit being responsive to said first control output for continuously lighting said auto lead lamp, said processor being responsive to said auto cycle selection signal for disabling said first mode of operation, said processor interface unit being responsive to said second control output of said processor for blinking said auto lead lamp, whereby to indicate disabling of said first mode of operation.

20. The system of claim 12, wherein said control means comprises a processor for providing control signals indicating said group of pickup leads for which ECG data is being displayed, said system further comprising a chart recorder, said control means further comprising a character generator responsive to said control signals from said microprocessor for actuating said chart recorder to print identification of said group of pickup leads for which ECG data is being displayed.

23. The system of claim 12, said control means receiving said operator input, said operator input comprising an auto cycle selection signal indicating operator selection of an auto cycle mode of operation and a selected delay time between recordings, said operating input also including a selected recording time in said auto cycle mode of operation, said control means including a processor responsive to said auto cycle selection signal for successively issuing a reset signal and a start signal, said control means including a timer/counter responsive to said reset signal for being placed in a reset state, and being responsive to said start signal so as to count through a first time interval corresponding to said recording time so as to generate a first output, and said timer/counter counting through a second time interval corresponding to said delay time between recordings so as to issue a second output.

24. An electrocardiography system for recording, in accordance with an operator input provided via control console switches, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said operator input designating a group of said pickup leads, said system comprising:

lead switching means for receiving, selecting and switchably routing said ECG data from a group of said pickup leads designated by said operator input to provide a lead switching output;

control means for processing said lead switching output to derive respective processed outputs; and

recording means including a plurality of recording channels for recording, as an output thereof, each one of said respective processed outputs on a corresponding one of said recording channels in accordance with said operator input, said control means receiving said operator input, said operator input comprising an auto cycle selection signal indicating operator selection of an auto cycle mode of operation and a selected delay time between recordings, said operator input also including a selected recording time in said auto cycle mode of operation, said control means including a processor responsive to said auto cycle selection signal for successively issuing a reset signal and a start signal, said control means including a timer/counter responsive to said reset signal for being placed in a reset state, and being responsive to said start signal so as to count through a first time interval corresponding to said recording time so as to generate a first output, and said timer/counter counting through a second time interval corresponding to said delay time between recordings so as to issue a second output.

25. The system of claim 24, said control means further comprising means responsive to alteration of at least one of said delay time between recordings and said recording time of said operator input for resetting and restarting said timer/counter.

26. An electrocardiography system for recording, in accordance with an operator input provided via control console switches, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said operator input designating a group of said pickup leads, said system comprising:

lead switching means for receiving, selecting and switchably routing said ECG data from said group of said pickup leads designated by said operator input to provide a lead switching output;

control means responsive to said operator input for processing said lead switching output to derive respective processed outputs; and

recording means including a plurality of recording channels for recording each one of said respective processed outputs on a corresponding one of said recording channels in accordance with said operator input;

wherein said lead switching means comprises a lead switching unit connected to said plurality of pickup leads, and a plurality of amplifiers, one for each pickup lead in said group of pickup leads designated by said operator input, each of said plurality of amplifiers amplifying said ECG data from a respective lead in said group of pickup leads designated by said operator input so as to provide corresponding amplified outputs comprising said lead switching output;

wherein each of said plurality of amplifiers comprises a differential amplifier for receiving and amplifying a corresponding one of said received, selected and switchably routed ECG data from a corresponding one of said pickup leads of said group of said pickup leads designated by said operator input, said differential amplifier having two inputs and an output, threshold circuit means connected to said output of said differential amplifier for detecting an overvoltage in said output of said differential amplifier, and analog switch means responsive to detection by said threshold circuit means of said overvoltage for grounding said inputs of said differential amplifier until said overvoltage subsides.

27. The system of claim 26, wherein said control means generates control signals in response to said operator input, and wherein said lead switching unit comprises:

buffer means for buffering said ECG data from said pickup leads;

resistor network means for grouping said plurality of pickup leads and for electrically combining said ECG data from said plurality of pickup leads, so as to form a further plurality of ECG output signals;

a plurality of analog switches, one for each of said plurality of recording channels, responsive to said operator input and to said control signals from said control means for selecting a corresponding one of said further plurality of ECG output signals, and for routing said selected corresponding one of said further plurality of ECG output signals to a corresponding one of said recording channels designated by said operator input; and

buffer means, one for each of said plurality of recording channels, for buffering said selected and routed corresponding one of said further plurality of ECG output signals.

40. The system of any one of claims 26, 28 or 30, further comprising program monitor group select means responsive to said operator input for designating a a special monitor group selected by the operator, whereby the operator may select pickup leads from various different groups to define said special monitor group.

28. An electrocardiography system for recording, in accordance with an operator input provided via control console switches, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said operator input designating a group of said pickup leads, said system comprising:

lead switching means for receiving, selecting and switchably routing said ECG data from said group of said pickup leads designated by said operator input to provide a lead switching output;

control means responsive to said operator input for processing said lead switching output to derive respective processed outputs; and

recording means including a plurality of recording channels for recording each one of said respective processed outputs on a corresponding one of said recording channels in accordance with said operator input;

wherein said lead switching means comprises a lead switching unit connected to said plurality of pickup leads, and a plurality of amplifiers, one for each pickup lead in said group of pickup leads designated by said operator input, each of said plurality of amplifiers amplifying said ECG data from a respective lead in said group of pickup leads designated by said operator input so as to provide corresponding amplified outputs comprising said lead switching output;

wherein each of said plurality of amplifiers comprises an analog switch for normally passing said ECG data to the output of said each of said plurality of amplifiers, and responsive to a control signal from said control means for blocking said ECG data and for passing a calibration signal to the output of said each of said plurality of amplifiers.

29. The system of claim 28, wherein said control means generates control signals in response to said operator input, and wherein said lead switching unit comprises:

buffer means for buffering said ECG data from said pickup leads;

resistor network means for grouping said plurality of pickup leads and for electrically combining said ECG data from said plurality of pickup leads, so as to form a further plurality of ECG output signals;

a plurality of analog switches, one for each of said plurality of recording channels, responsive to said operator input and to said control signals from said control means for selecting a corresponding one of said further plurality of ECG output signals, and for routing said selected corresponding one of said further plurality of ECG output signals to a corresponding one of said recording channels designated by said operator input; and

buffer means, one for each of said plurality of recording channels, for buffering said selected and routed corresponding one of said further plurality of ECG output signals.

30. An electrocardiography system for recording, in accordance with an operator input provided via control console switches, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said operator input designating a group of said pickup leads, said system comprising:

lead switching means for receiving, selecting and switchably routing said ECG data from said group of said pickup leads designated by said operator input to provide a lead switching output;

control means responsive to said operator input for processing said lead switching output to derive respective processed outputs; and

recording means including a plurality of recording channels for recording each one of said respective processed outputs on a corresponding one of said recording channels in accordance with said operator input;

wherein said lead switching means comprises a lead switching unit connected to said plurality of pickup leads, and a plurality of amplifiers, one for each pickup lead in said group of pickup leads designated by said operator input, each of said plurality of amplifiers amplifying said ECG data from a respective lead in said group of pickup leads designated by said operator input so as to provide corresponding amplified outputs comprising said lead switching output;

said system further comprising display means for displaying, as an output thereof, said each one of said respective processed outputs, and wherein said control means comprises;

gain adjust means for receiving and attenuating said lead switching output to develop corresponding attenuated outputs, said corresponding attenuated outputs being provided to respective ones of said plurality of amplifiers in said lead switching means;

said respective ones of said plurality of amplifiers each comprising a first differential amplifier for filtering in accordance with a first frequency to provide a first filtered output, and a second differential amplifier for filtering in accordance with a second frequency to provide a second filtered output;

said control means further comprising switch means receiving said first and second filtered outputs and being responsive to said operator input for selectively providing one of said first and second gain filtered outputs as an output of said switch means;

said output of said switch means comprising said respective processed outputs of said control means;

said control means further comprising direct/delay switching means for receiving said output of said switch means and said output of said display means, and being responsive to said operator input for selectively providing at least one of said output of said switch means and said output of said display means as a further plurality of respective processed outputs of said control means for recording.

31. The system of claim 30, wherein said gain adjust means comprises a plurality of selectable resistors for electrically processing said lead switching output.

32. The system of claim 30, said control means comprising a control circuit responsive to said operator input for automatically generating a calibration output provided to each of said plurality of amplifiers, whereby to provide a calibration signal in each of said recording channels.

33. The system of claim 30, said control means comprising a control circuit responsive to said operator input for automatically and periodically generating a calibration output provided to each of said plurality of amplifiers, whereby to provide a periodic calibration signal in each of said recording channels.

34. The system of claim 30, said control means further comprising a processor and a processor interface unit, said processor interface unit receiving said operator input, said operator input designating operator selection of said plurality of pickup leads providing ECG data for recording, said processor interface unit including an encoder responsive to said operator input for providing a corresponding digital coded output to said processor.

35. The system of claim 30, said system comprising a chart recorder for recording said each one of said respective processed outputs on a corresponding recording track on chart paper moving through said chart recorder, said chart paper comprising a plurality of sheets, each having a beginning portion, said control means further comprising a processor and a processor interface unit, said processor controlling said chart recorder to move said paper therethrough, said processor interface unit comprising means for sensing the beginning portion of each said sheet of said chart paper and providing a detection signal to said processor, said processor being responsive thereto for stopping said chart paper at the beginning portion of said sheet.

36. The system of claim 30, said control means further comprising a processor and a processor interface unit, said processor being responsive to said operator input for providing a decoded output indicating said group of pickup leads designated by said operator input, said processor interface unit including decoder circuitry responsive to said decoded output of said processor for providing corresponding driver signals, one for each of said group of pickup leads which can be designated by said operator input, said system including a control console having group indicator lamps, said decoding means providing said corresponding driver output signal to a corresponding one of said group indicator lamps for indicating to the operator the selected group.

37. The system of claim 36, said system including control console switches indicating operator selection of a plurality of pickup leads comprising a program monitor group selected by the operator, said control console switches being responsive to said operator selection for issuing control signals, said program monitor group select means including at least one encoder for receiving and encoding said control signals from said control console switches, and issuing a monitor lead code for each selected pickup lead in said special monitor group, said console switches being further settable by the operator to designate display channels selected by the operator for display of said selected pickup leads, said program monitor group select means including logic means responsive to said selection of display channels by the operator for producing a coded output corresponding thereto, said program monitor group select means further comprising a comparator circuit for comparing the various channels selected by the operator for display of the selected pickup leads, said comparator circuit being responsive to selection by the operator of the same channel for display of a plurality of pickup leads for issuing a disable signal disabling said logic means from encoding said channel selection by said operator.

38. The system of claim 30, wherein said operator input includes an auto lead signal designating operator selection of a first mode of operation, said first mode of operation comprising selective and successive recording by said system of ECG data from a predetermined set of groups of pickup leads, said operator input further comprising an auto cycle selection signal designating operator selection of a second mode of operation, said second mode of operation comprising periodic recording to said ECG data from said group of pickup leads designated by said operator input, said control means further comprising a processor and a processor interface unit, said processor being responsive to said auto lead selection signal and said auto cycle selection signal for producing corresponding first and second control outputs, said system including a control console having an auto lead lamp for indicating when said operator has selected said first mode of operation, said processor interface unit being responsive to said first control output for continuously lighting said auto lead lamp, said processor being responsive to said autocycle selection signal for disabling said first mode of operation, said processor interface unit being responsive to said second control output of said processor for blinking said auto lead lamp, whereby to indicate disabling of said first mode of operation.

39. The system of claim 30, wherein said control means comprises a process for providing control signals indicating said group of pickup leads for which ECG data is being recorded, said system further comprising a chart recorder, said control means further comprising a character generator responsive to said control signals from said microprocessor for actuating said chart recorder to print identification of said group of pickup leads for which ECG data is being recorded.

41. The system of claim 30, said control means receiving said operator input, said operator input comprising an auto cycle selection signal indicating operator selection of an auto cycle mode of operation and a selected delay time between recordings, said operator input also including a selected recording time in said auto cycle mode of operation, said control means including a processor responsive to said auto cycle selection signal for successively issuing a reset signal and a start signal, said control menas including a timer/counter responsive to said reset signal for being placed in a reset state, and being responsive to said start signal so as to count through a first time interval corresponding to said recording time so as to generate a first output, and said timer/counter counting through a second time interval corresponding to said delay time between recordings so as to issue a second output.

42. An electrocardiography system for recording, in accordance with an operator input provided via control console switches, electrocardiograph (ECG) data provided in a plurality of pickup leads, wherein said pickup leads in said plurality of pickup leads are divided into groups, said operator input designating a group of said pickup leads, said system comprising:

lead switching means for receiving, selecting and switchably routing said ECG data from said group of said pickup leads designated by said operator input to provide a lead switching output;

control means responsive to said operator input for processing said lead switching output to derive respective processed outputs; and

recording means including a plurality of recording channels for recording each one of said respective processed outputs on a corresponding one of said recording channels in accordance with said operator input, said control means receiving said operator input, said operator input comprising an auto cycle selection signal indicating operator selection of an auto cycle mode of operation and a selected delay time between recordings, said operator input also including a selected recording time in said auto cycle mode of operation, said control means including a processor responsive to said auto cycle selection signal for successively issuing a reset signal and a start signal, said control means including a timer/counter responsive to said reset signal for being placed in a reset state, and being responsive to said start signal so as to count through a first time interval corresponding to said recording time so as to generate a first output, and said timer/counter counting through a second time interval corresponding to said delay time between recordings so as to issue a second output.

43. The system of claim 42, said control means further comprising means responsive to alteration of at least one of said delay time between recordings and said recording time of said operator input for resetting and restarting said timer/counter.