Abstract
In a previous paper (Bartholomay, 1971), a general mathematical model of the medical diagnostic process was described. The present paper amounts to a relization of that process in terms of conventional 12-lead electrocardiographic diagnosis as enunciated by Dr. Harold D. Levine (1966) in the course of a collaborative study by Dr. Levine and the present author at the Peter Bent Brigham Hospital of the Harvard Medical School between 1963 and 1966. The main details of the cognitive component of that model are described in detail here. The model has been programmed onto a computer system consisting of an analog-digital converter and general purpose digital computer and amounts to a simulation of Dr. Levine’s electrocardiographic analysis procedure.
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Bartholomay, A. F. 1968. “Some General Ideas on Deterministic and Stochastic Models of Biological Systems.” InQuantitative Biology of Metabolism. A. Locker, ed. Heidelberg: Springer-Verlag, pp. 45–60.
Bartholomay, A. F. 1969. “Some Numerical and Mathematical Aspects of Automating Conventional 12-Lead Electrocardiographic Analysis.” InStudies in Numerical Analysis I. Proceedings of Symposium on Numerical Solution of Differential Equations, SIAM Meeting at University of Iowa, 1966. Sponsored by the USAF Office of Scientific Research, pp. 21–46.
— 1971. “Some Mathematical Aspects of the Medical Diagnostic Process. I: A General Mathematical Model.”Bull. Math. Biophysics,33, 413–424.
Goldman, M. S. 1962.Principles of Clinical Electrocardiography. Los Altos, Calif: Lange Medical Publications.
Levine, H. D. 1966. “Computer as an Aid in the Interpretation of Electrocardiograms.”Excerpta Medica International Congress Series, No. 137. Proceedings of the Ninth International Congress of Internal Medicine, Amsterdam, September 7–10, pp. 429–434.
Simonson, E. 1961.Differentiation Between Normal and Abnormal in Electrocardiography. St. Louis: C. V. Mosby Company.
Smets, P. and A. F. Bartholomay. 1971. “Repetitive Pattern and Biological Periodicity.”Math. Biosciences,10, 333–351.
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Bartholomay, A.F. Some mathematical aspects of the diagnostic process. II: A mathematical model of electrocardiographic diagnosis. Bltn Mathcal Biology 35, 535–547 (1973). https://doi.org/10.1007/BF02575196
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DOI: https://doi.org/10.1007/BF02575196