Document Detail


Non-invasive diagnosis of coronary artery disease using cardiogoniometry performed at rest.
MedLine Citation:
PMID:  18431698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PRINCIPLES: Cardiogoniometry is a non-invasive technique for quantitative three-dimensional vectorial analysis of myocardial depolarization and repolarization. We describe a method of surface electrophysiological cardiac assessment using cardiogoniometry performed at rest to detect variables helpful in identifying coronary artery disease.
METHODS: Cardiogoniometry was performed in 793 patients prior to diagnostic coronary angiography. Using 13 variables in men and 10 in women, values from 461 patients were retrospectively analyzed to obtain a diagnostic score that would identify patients having coronary artery disease. This score was then prospectively validated on 332 patients.
RESULTS: Cardiogoniometry showed a prospective diagnostic sensitivity of 64%, and a specificity of 82%. ECG diagnostic sensitivity was significantly lower, with 53% and a similar specificity of 75%.
CONCLUSIONS: Cardiogoniometry is a new, noninvasive, quantitative electrodiagnostic technique which is helpful in identifying patients with coronary artery disease. It can easily be performed at rest and delivers an accurate, automated diagnostic score.
Authors:
W M Michael Schüpbach; Bernhard Emese; Patrick Loretan; Alain Mallet; Firat Duru; Ernst Sanz; Bernhard Meier
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Swiss medical weekly     Volume:  138     ISSN:  1424-7860     ISO Abbreviation:  Swiss Med Wkly     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-23     Completed Date:  2008-08-12     Revised Date:  2011-02-15    
Medline Journal Info:
Nlm Unique ID:  100970884     Medline TA:  Swiss Med Wkly     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  230-8     Citation Subset:  IM    
Affiliation:
Department of Cardiology, University Hospital, Inselspital, Bern, Switzerland. michael.schupbach@wanadoo.fr
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Angiography
Coronary Artery Disease / diagnosis*
Female
Humans
Male
Middle Aged
Reproducibility of Results
Sensitivity and Specificity
Vectorcardiography / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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