Adenosine stress echocardiography diagnosis of coronary heart disease: A Meta-analysis
- VernacularTitle:腺苷负荷超声心动图诊断冠心病的Meta分析
- Author:
Ying WU
;
Liangping LUO
- Publication Type:Journal Article
- Keywords:
Adenosine stress;
Echocardiography;
Coronary angiography;
Coronary disease;
Meta-analysis
- From:
Chinese Journal of Medical Imaging Technology
2010;26(1):82-85
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate Meta-analysis in assessing the overall diagnostic value of adenosine stress echocardiography (ASE) in patients with coronary heart disease (CHD). Methods Relevant English and Chinese articles about ASE for assessing diagnostic accuracy of CHD were collected from the literatures published from 1994 to 2007 in China and abroad. Meta-analysis was conducted with the method recommended by the Cochrane Collaboration. Results Twelve papers were included. The reported sensitivity of ASE for the diagnosis of CHD ranged from 0.69 to 0.94, and the specificity ranged from 0.71 to 1.00. The pooled weighted sensitivity and specificity was 0.81 (95%CI 0.77-0.85) and 0.83 (95%CI 0.78-0.87), respectively;and the pooled positive and negative likelihood ratio was 4.81 (95%CI 3.65-6.33) and 0.22 (95%CI 0.18-0.28), respectively. The area under the curve of the summary receiver operating characteristic was 0.8968±0.0151. Conclusion ASE is medium to highly accurate in the diagnosis of CHD.
