TY - JOUR
T1 - Detection of coronary artery disease using dobutamine stress echocardiography in patients with an abnormal resting electrocardiograph
AU - Hennessy, Terence G.
AU - Hennessy, M. Siobhan
AU - Codd, Mary B.
AU - Kane, Garvin
AU - McCarthy, Conor
AU - McCann, Hugh A.
AU - Sugrue, Declan D.
PY - 1998/5/15
Y1 - 1998/5/15
N2 - Purpose. We assessed the value of dobutamine stress echocardiography for the detection of coronary artery disease in patients with chest pain and an abnormal resting electrocardiograph (ECG). Methods. Dobutamine stress echocardiography was performed in a standard fashion. Significant coronary artery disease was defined as a >50% luminal diameter stenosis on coronary angiography. Results. The sensitivity, specificity, positive and negative predictive value of dobutamine stress echocardiography for the detection of coronary artery disease in 218 patients were 89, 50, 95 and 32%, respectively. The sensitivity for detection of multi-, double- and single vessel disease were 97, 82 and 81%, respectively. The sensitivity for the detection of coronary artery disease in a subgroup of 69 patients by treadmill exercise testing was 37%. Conclusion. Dobutamine stress echocardiography is better than exercise ECG for the detection of significant coronary artery disease. The negative predictive value of dobutamine stress echocardiography in this patient group is low.
AB - Purpose. We assessed the value of dobutamine stress echocardiography for the detection of coronary artery disease in patients with chest pain and an abnormal resting electrocardiograph (ECG). Methods. Dobutamine stress echocardiography was performed in a standard fashion. Significant coronary artery disease was defined as a >50% luminal diameter stenosis on coronary angiography. Results. The sensitivity, specificity, positive and negative predictive value of dobutamine stress echocardiography for the detection of coronary artery disease in 218 patients were 89, 50, 95 and 32%, respectively. The sensitivity for detection of multi-, double- and single vessel disease were 97, 82 and 81%, respectively. The sensitivity for the detection of coronary artery disease in a subgroup of 69 patients by treadmill exercise testing was 37%. Conclusion. Dobutamine stress echocardiography is better than exercise ECG for the detection of significant coronary artery disease. The negative predictive value of dobutamine stress echocardiography in this patient group is low.
KW - Abnormal electrocardiograph
KW - Dobutamine stress echocardiography
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U2 - 10.1016/S0167-5273(98)00077-1
DO - 10.1016/S0167-5273(98)00077-1
M3 - Article
C2 - 9672411
AN - SCOPUS:0032524497
SN - 0167-5273
VL - 64
SP - 293
EP - 298
JO - International Journal of Cardiology
JF - International Journal of Cardiology
IS - 3
ER -