Sex-specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome

Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2018.

Bibliographic Details
Main Author: Chong Rodriguez, Alicia
Other Authors: Collin M. Stultz.
Format: Thesis
Language:eng
Published: Massachusetts Institute of Technology 2018
Subjects:
Online Access:http://hdl.handle.net/1721.1/118555
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author Chong Rodriguez, Alicia
author2 Collin M. Stultz.
author_facet Collin M. Stultz.
Chong Rodriguez, Alicia
author_sort Chong Rodriguez, Alicia
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description Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2018.
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spelling mit-1721.1/1185552022-01-12T20:29:22Z Sex-specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome Chong Rodriguez, Alicia Collin M. Stultz. Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science. Massachusetts Institute of Technology. Engineering and Management Program Massachusetts Institute of Technology. Integrated Design and Management Program. Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science. Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science System Design and Management Program Engineering and Management Program. Integrated Design and Management Program. Electrical Engineering and Computer Science. Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2018. Thesis: S.M., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2018. Cataloged from PDF version of thesis. Includes bibliographical references (pages 46-48). Women who present with symptoms consistent with an Acute Coronary Syndrome (ACS) are often under-diagnosed and under-represented in clinical trials. Moreover, there are data to suggest that women with cardiovascular disease have worse outcomes, poorer prognoses, and higher mortality rates than men. Determining the risk of future adverse cardiovascular events for women who have previously suffered an ACS is therefore a problem of paramount importance in the field of cardiovascular medicine. The identification of high-risk patient subgroups typically begins with an evaluation of the patient's history, physical exam, and the surface electrocardiogram (ECG). Indeed, the ECG plays a central role in the assessment and management of patients post ACS. In this study, we develop and test a technique for automatically assessing the risk of death in women who presented with an ACS. The method combines both patient history and an automated analysis of the surface ECG to accurately quantify that patient's future risk. The clustering of patients into subgroups, each having a different level of risk, is used to develop an algorithm to quantify the risk of new patients who present with an ACS. In this work, a comprehensive comparison between clustering female only data and traditional, female and male data is demonstrated as risk stratification methodologies for learning the significance or impact of our test and its inputs. The model trained on the entire population always performs worse for female population and the model trained only on female patients always provides a better performance for these patients. Comparing to existing risk scores, the female-specific model performs better. by Alicia Chong Rodriguez. S.M. in Engineering and Management S.M. 2018-10-15T20:25:03Z 2018-10-15T20:25:03Z 2018 2018 Thesis http://hdl.handle.net/1721.1/118555 1055204246 eng MIT theses are protected by copyright. They may be viewed, downloaded, or printed from this source but further reproduction or distribution in any format is prohibited without written permission. http://dspace.mit.edu/handle/1721.1/7582 48 pages application/pdf Massachusetts Institute of Technology
spellingShingle Engineering and Management Program.
Integrated Design and Management Program.
Electrical Engineering and Computer Science.
Chong Rodriguez, Alicia
Sex-specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome
title Sex-specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome
title_full Sex-specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome
title_fullStr Sex-specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome
title_full_unstemmed Sex-specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome
title_short Sex-specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome
title_sort sex specific computationally generated biomarkers for cardiovascular risk stratification post acute coronary syndrome
topic Engineering and Management Program.
Integrated Design and Management Program.
Electrical Engineering and Computer Science.
url http://hdl.handle.net/1721.1/118555
work_keys_str_mv AT chongrodriguezalicia sexspecificcomputationallygeneratedbiomarkersforcardiovascularriskstratificationpostacutecoronarysyndrome