1. [The automated diagnosis of different forms of ischemic heart disease in the practice of a telecardiology diagnostic center].
- Author
-
Borovkov NN, Matusova AP, Bubel' MS, Velikovskaia LM, Ivanchenko EIu, Ivanova IM, Kravets KF, and Utrobina SA
- Subjects
- Adult, Coronary Disease classification, Female, Humans, Mathematics, Referral and Consultation, Russia, Telephone, Cardiac Care Facilities, Coronary Disease diagnosis, Electrocardiography methods, Telemetry methods
- Abstract
The data of the authors' work based on the experience gained with 36,500 telecardiological consultations provided within the framework of the counselling center point to the importance of taking into consideration, in addition to the ECG readings, of the clinical data on the patient to formulate the final diagnosis. In order to obtain formalized clinical information, a coding chart including 19 signs with regard to the gradation in the monotonously increasing extent of derangements has been elaborated. The mathematic maintenance of the work using algorithms of image recognition made it possible to derive a linear formula for computing the magnitude of the total diagnostic index. According to its magnitude the patient's pathology can be attributed to one of the three classes: 0--no coronary heart disease. I--steady angina pectoris, II--acute coronary heart disease. Judging from the examination sequence the percentage of errors does not exceed 8.3% with a tendency towards overdiagnosis of coronary heart disease.
- Published
- 1990