i need to clarifyecg is only ONE of many diagnostic toolbasic...

i need to clarify

ecg is only ONE of many diagnostic tool
basic blood test like Creatine kinase and troponin Is commonly used and basic history/examination AND echocardiography which is now standard tool for cardiologists will diagnose most problems >99%

most of the time subtleties in ecg do not matter, there are very basic patterns to look for in ischaemic changes such as ST segment changes and T wave changes, poor R wave progressions and bundle branch blocks which is obvious to the trained eye. i think the cpi picks up "overdiagnoses" the ecgs to make it look more impressive

the problem in missing things is not in the ecg but rather a slack overall assessment of the patient, which is where CPI may be useful

for eg. cardiologist given a history , non specific chest pain rarara but troponin slightly up and ecg normal

so whats the cpi? What?!!??! thats really high, fax me that ecg
after a while, "jeez open the cath lab, im taking him in now for an hot angio/platy"

so in summary i think cpi is a great technology, not world beating but a potentially great compliment to the battery of tests to improve false negatives in the world of high patient turnover where things can be missed