The ability of a computer program based on the Marquette Matrix-12 short measurement matrix to replicate coding by the Minnesota ECG coding laboratory

Vuyisile T Nkomo, T. E. Kottke, M. J. Brekke, L. N. Brekke, S. C. Hammill

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The study was undertaken to determine whether a computer program that uses 'short measurement matrix' data from the Marquette Matrix-12 system can replicate Minnesota electrocardiogram (ECG) coding laboratory interpretations. An agreement was found between coding of median complex ECGs at the Minnesota ECG coding laboratory and coding based on Marquette Matrix-12 short measurement matrix. The comparison was based on 763 ECGs plus chest pain history and serum enzyme values for a stratified random sample of 141 patients hospitalized in 1990 or 1991 for an event coded as HICDA 410.x (acute myocardial infarction), 411 (other acute and subacute forms of ischemic heart disease), 413 (angina pectoris), or 796.9 (other ill defined and unknown causes of morbidity and mortality). The population was reconstructed from the stratified random sample to enable population-based inferences. Exact agreement between Matrix-12 and Minnesota coding laboratory interpretation on 4 ECG patterns (evolving diagnostic, diagnostic, equivocal, or other ECG pattern) was 74.5% (Kappa = 0.63 ± 0.05) for the stratified random sample and 78.8% (Kappa = 0.66 ± 0.05) for the reconstructed population. For coding myocardial infarction based on the ECG, serum enzyme levels, and ischemic chest pain, agreement was 91.5% (Kappa = 0.85 ± 0.04) for the stratified random sample and 90% (Kappa = 0.83 ± 0.04) for the reconstructed population. Although ECG interpretation by a computer program based on the short measurement matrix of the Matrix 12 system results in better agreement than prior attempts to replicate the Minnesota coding laboratory, interpretation remains unacceptably discordant.

Original languageEnglish (US)
Pages (from-to)341-348
Number of pages8
JournalJournal of Electrocardiology
Volume33
Issue number4
DOIs
StatePublished - 2000

Fingerprint

Electrocardiography
Software
Chest Pain
Population
Myocardial Infarction
Angina Pectoris
Enzymes
Serum
Myocardial Ischemia
Morbidity
Mortality

Keywords

  • Agreement
  • Electrocardiograms
  • Epidemiology
  • Myocardial infarction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

The ability of a computer program based on the Marquette Matrix-12 short measurement matrix to replicate coding by the Minnesota ECG coding laboratory. / Nkomo, Vuyisile T; Kottke, T. E.; Brekke, M. J.; Brekke, L. N.; Hammill, S. C.

In: Journal of Electrocardiology, Vol. 33, No. 4, 2000, p. 341-348.

Research output: Contribution to journalArticle

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