Document Detail

Noninvasive testing of asymptomatic patients for the detection of silent ischemia after an infarction. A decision analysis.
MedLine Citation:
PMID:  8423110     Owner:  NLM     Status:  MEDLINE    
This decision analysis estimates the overall gain in life expectancy and the relative efficacy of predischarge submaximal exercise electrocardiography, ambulatory cardiac monitoring, and thallium-201 scintigraphy for the identification of silent ischemia in asymptomatic postinfarct patients. A small, virtually equal increase in life expectancy can be obtained from any of the noninvasive tests (as compared to no testing). Large differences in life expectancy may result only when the prevalence of residual coronary artery disease and the probability of left-main and three-vessel lesions are high.
J Lau; M E Adams
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  International journal of technology assessment in health care     Volume:  9     ISSN:  0266-4623     ISO Abbreviation:  Int J Technol Assess Health Care     Publication Date:  1993  
Date Detail:
Created Date:  1993-02-24     Completed Date:  1993-02-24     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8508113     Medline TA:  Int J Technol Assess Health Care     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  112-23     Citation Subset:  IM    
Department of Veterans Affairs Medical Center.
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MeSH Terms
Aged, 80 and over
Decision Trees
Middle Aged
Myocardial Infarction / complications*
Myocardial Ischemia / diagnosis*,  etiology,  mortality
Sensitivity and Specificity
Technology Assessment, Biomedical
Grant Support

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