|
Sensitivity, specificity, positive and negative predictive values for the diagnosis of ACS with clinical myocardial infarction at presentation |
||||
| Sensitivity (95% CI) |
Specificity (95% CI) |
Positive predictive value (95% CI) |
Negative predictive value (95% CI) |
|
|
|
||||
| Serial ECG & ST monitoring N = 690 |
33.3% (19.2 to 51.2) |
95.3% (93.4 to 96.7) |
24.4% (13.8 to 39.3) |
96.9% (95.3 to 98.0) |
| Initial CK-MB(mass) N = 687 |
63.3% (45.5 to 78.1) |
97.0% (95.3 to 98.0) |
48.7% (33.9 to 63.8) |
98.3% (97.0 to 99.0) |
| Delayed CK-MB(mass) N = 601 |
95.7% (79.0 to 99.2) |
96.2% (94.3 to 97.5) |
50.0% (35.8 to 64.2) |
99.8% (99.0 to 100) |
| Delta CK-MB(mass) N = 601 |
95.7% (79.0 to 99.2) |
98.4% (97.0 to 99.1) |
70.0% (53.4 to 83.9) |
99.8% (99.0 to 100) |
| Any positive CK-MB(mass) N = 601 |
100% (88.6 to 100) |
95.6% (93.7 to 96.9) |
50.8% (38.3 to 63.2) |
100% (99.4 to 100) |
| Troponin T > = 0.1 ng/ml N = 686 |
83.3% (66.4 to 92.7) |
98.8% (97.7 to 99.4) |
75.8% (59.0 to 87.2) |
99.3% (98.3 to 99.7) |
| Troponin T > = 0.03 ng/ml N = 686 |
96.4% (82.3 to 99.4) |
95.9% (94.1 to 97.2) |
50.0% (37.1 to 62.9) |
99.8% (99.1 to 100) |
Goodacre et al. BMC Emergency Medicine 2005 5:6 doi:10.1186/1471-227X-5-6 |
||||