DECISION RULES FOR THE ECG DIAGNOSIS OF INFERIOR MYOCARDIAL-INFARCTION

被引：5
作者：
PAHLM, O
CASE, D
HOWARD, G
POPE, J
HAISTY, WK
机构：
[1] INTERVENT CARDIOL ASSOCIATES,TAMPA,FL 33613
[2] WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT PUBL HLTH SCI,WINSTON SALEM,NC 27103
来源：
COMPUTERS AND BIOMEDICAL RESEARCH | 1990年 / 23卷 / 04期
关键词：
D O I：
10.1016/0010-4809(90)90025-8
中图分类号：
TP39 [计算机的应用];
学科分类号：
081203 ; 0835 ;
摘要：
ECG measurements from 341 patients with inferior myocardial infarction (IMI) and 327 normal subjects were used to develop and test decision rules for the ECG diagnosis of IMI. Recursive partitioning provided a simple decision rule with 75% sensitivity and 97% specificity, using Q amplitude and Q duration in aVF, Q duration in III, and T-wave axis in the frontal plane as decision variables. Dropping T-wave axis from the decision rule led to a 10% decrease in sensitivity. Multiple logistic regression provided sensitivities and specificities which were similar to those for recursive partitioning. Both methods outperformed traditional noncontour criteria for IMI. © 1990.
引用
收藏
页码：332 / 345
页数：14
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