Document Detail

Angiographic correlates of the treadmill scores in non-high-risk patients with unstable angina.
MedLine Citation:
PMID:  17627103     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There has been no clear consensus regarding the optimum definition of a high-risk exercise ECG test. The aim of this study is to compare the diagnostic accuracy of several treadmill scores [American College of Cardiology/American Heart Association (ACC/AHA) High-Risk Criteria for exercise testing, Duke Treadmill Score, Veterans Affairs and West Virginia Prognostic Score, ST/Heart Rate Index] with the ST-segment depression analysis in the detection of significant and severe coronary disease as determined by coronary angiography. METHODS: The study included a cohort of 248 consecutive patients admitted to hospital for unstable angina. RESULTS: The sensitivities of the ACC/AHA High-Risk Criteria and the ST depression > or =1 mm were 89.02 and 76.83%, respectively, for the detection of significant coronary artery disease, and 96.15 and 86.54% for the detection of severe coronary artery disease. The specificities of the Duke Treadmill Score and the ST depression > or=1 mm were 96.43 and 73.81%, respectively, for the detection of significant coronary artery disease, and 81.63 and 47.45% for the detection of severe coronary artery disease. CONCLUSIONS: The ACC/AHA High-Risk Criteria and Duke Treadmill Score provided relevant diagnostic information not available from the ST segment analysis alone.
José A Alvarez Tamargo; Eugenio Simarro Martín-Ambrosio; Enrique Romero Tarín; María Martín Fernández; Sergio Hevia Nava; Vicente Barriales Alvarez; Cesar Morís de la Tassa
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2007-07-10
Journal Detail:
Title:  Cardiology     Volume:  109     ISSN:  1421-9751     ISO Abbreviation:  Cardiology     Publication Date:  2008  
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  1-9     Citation Subset:  IM    
Copyright Information:
(c) 2007 S. Karger AG, Basel
Unidad de Cardiología, Hospital Carmen y Severo Ochoa, Cangas del Narcea, España.
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MeSH Terms
Angina, Unstable / complications*
Coronary Angiography*
Coronary Artery Disease / diagnosis*,  etiology
Electrocardiography / standards*
Exercise Test / standards*
Middle Aged
Predictive Value of Tests

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