Browse Guides  internal medicine  cardiology

Chest pain

Causes
Clinical features
Investigations
Therapy
Prognosis
Investigations

For patients with possible coronary artery disease, but no clear evidence, consider 
  • exercise echocardiography a  

Why?

An abnormal exercise echocardiogram makes coronary artery disease more likely

Patient Target Disorder and
Reference Standard		 Diagnostic Test LR+
(95% CI)		 Post-test Probability LR-
(95% CI)		 Post-test Probability
suspected coronary artery disease a
(pre-test probability: 64%)		 coronary artery disease
(coronary angiography)		 exercise echocardiography 3.3
(2.9 to 3.6)		 85% 0.16
(0.14 to 0.19)		 23%
 

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   S   Straus
CAT Writers   CJ   Wotton , CM   Ball , N   Shenker , RS   Phillips