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Sensitivity and specificity of various noninvasive tests to diagnose the presence of coronary heart disease (CHD)

Sensitivity and specificity of various noninvasive tests to diagnose the presence of coronary heart disease (CHD)
  Diagnosis of coronary artery disease
Sensitivity (%) Specificity (%)
Exercise ECG 45 to 61 70 to 90
Exercise stress echocardiography 70 to 85 77 to 89
Exercise stress SPECT 73 to 92 63 to 88
Pharmacologic stress echocardiography 72 to 90 79 to 95
Pharmacologic stress SPECT 88 to 91 75 to 90
Coronary CTA 93 to 99 64 to 90
CTA: computed tomography angiogram; ECG: electrocardiogram; SPECT: single photon emission computed tomography.
Data from:
  1. Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation 2012; 126:e354.
  2. Montalescot G, Sechtem U, Achenbach S, et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J 2013; 34:2949.
Graphic 99326 Version 1.0

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