Cardiac fluoroscopy for the diagnosis of coronary artery disease: A meta analytic review

Journal Article · Thu Nov 01 00:00:00 EST 1990 · American Heart Journal; (USA)

DOI:https://doi.org/10.1016/0002-8703(90)90134-J· OSTI ID:6322310

Gianrossi, R; Detrano, R; Colombo, A; Froelicher, V ^[1]

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1. Univ. of California, Long Beach (USA)

To evaluate variability in the reported accuracy of fluoroscopically detected coronary calcific deposits for predicting angiographic coronary disease, we applied meta analysis to 13 consecutively published reports comparing the results of cardiac fluoroscopy with coronary angiography. Population characteristics and technical and methodologic factors were analyzed. Sensitivity and specificity for predicting serious coronary disease compare quite well with those from the literature on the exercise ECG and the exercise thallium scintigram. Sensitivity increases and specificity decreases more significantly with patient age, and sensitivity is paradoxically lower in laboratories testing patients with more severe disease, as well as when 70% rather than 50% diameter narrowing is used to define angiographic disease. Work-up and test review bias were also significantly related to reported accuracy.

• OSTI ID: 6322310
• Journal Information: American Heart Journal; (USA), Vol. 120:5; ISSN 0002-8703
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
CARDIOVASCULAR DISEASES
DIAGNOSIS
FLUOROSCOPY
ACCURACY
HEART
IMAGE PROCESSING
COMPARATIVE EVALUATIONS
EXERCISE
PATIENTS
SCINTISCANNING
SENSITIVITY ANALYSIS
SPECIFICITY
THALLIUM ISOTOPES
BIOMEDICAL RADIOGRAPHY
BODY
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DISEASES
ISOTOPES
MEDICINE
NUCLEAR MEDICINE
ORGANS
PROCESSING
RADIOISOTOPE SCANNING
RADIOLOGY
550602* - Medicine- External Radiation in Diagnostics- (1980-)