Analysis methods to improve the diagnostic power of treadmill exercise stress testing in patients with suspected angina pectoris

Singapore Med J. 1994 Aug;35(4):364-6.

Abstract

To assess the ability of 3 established analysis methods in exercise stress electrocardiography to non-invasively detect the presence of coronary artery disease (CAD), 67 consecutive patients who had typical angina, positive exercise stress electrocardiography (ST segment depression > or = 1 mm) and coronary arteriography were studied. Thirty-three patients had significant CAD, and 34 had normal coronary arteriograms. The results showed that the Treadmill Score Method, utilising both ST and non-ST segment variables, had the highest accuracy in predicting disease. The predictive power of all 3 methods was lower in females.

MeSH terms

  • Adult
  • Aged
  • Angina Pectoris / diagnosis*
  • Angina Pectoris / diagnostic imaging
  • Blood Pressure / physiology
  • Coronary Angiography
  • Coronary Disease / diagnosis*
  • Coronary Disease / diagnostic imaging
  • Diagnosis, Differential
  • Electrocardiography*
  • Exercise Test*
  • Female
  • Forecasting
  • Heart Rate / physiology
  • Humans
  • Male
  • Microvascular Angina / diagnosis
  • Middle Aged
  • Sensitivity and Specificity
  • Sex Factors
  • Time Factors