Computer-Derived Protocol to Predict Myocardial Infarction in Patients with Chest Pain

To the Editor: In their introduction, Goldman et al. (March 31 issue) 1 imply that they were the first to apply computer decision aids to the diagnosis of patients with acute chest pain in the emergency room. In fact, discussion of decision analysis applied to chest pain dates from 1968. 2 Multidime...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 319; no. 12; pp. 790 - 792
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 22.09.1988
Subjects
Angina Pectoris - diagnosis
Diagnosis, Computer-Assisted
Humans
Myocardial Infarction - etiology
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Summary:To the Editor: In their introduction, Goldman et al. (March 31 issue) 1 imply that they were the first to apply computer decision aids to the diagnosis of patients with acute chest pain in the emergency room. In fact, discussion of decision analysis applied to chest pain dates from 1968. 2 Multidimensional computer processing was first used in 1976 by Patrick et al., 3 who demonstrated that the computer's performance was superior to that of physicians. Computer-assisted diagnosis of chest pain has subsequently been studied by investigators using a variety of approaches, including multivariate gaussian distribution and K–nearest neighbor rule, 3 4 5 stepwise discriminant analysis, . . . No extract is available for articles shorter than 400 words.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM198809223191213