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Decision rules for the ECG diagnosis of inferior myocardial infarction

✍ Scribed by O. Pahlm; D. Case; G. Howard; J. Pope; W.K. Haisty

Publisher
Elsevier Science
Year
1990
Tongue
English
Weight
725 KB
Volume
23
Category
Article
ISSN
0010-4809

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✦ Synopsis

ECG measurements from 341 patients with inferior myocardial infarction (IMU 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 specilicities which were similar to those for recursive partitioning. Both methods outperformed traditional noncontour criteria for IMI. ar

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