Detection of coronary artery disease using dobutamine stress echocardiography in patients with an abnormal resting electrocardiograph

Terence G. Hennessy, M. Siobhan Hennessy, Mary B. Codd, Garvin Kane, Conor McCarthy, Hugh A. McCann, Declan D. Sugrue

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)293-298
Number of pages6
JournalInternational Journal of Cardiology
Volume64
Issue number3
DOIs
StatePublished - May 15 1998

Keywords

  • Abnormal electrocardiograph
  • Dobutamine stress echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Detection of coronary artery disease using dobutamine stress echocardiography in patients with an abnormal resting electrocardiograph'. Together they form a unique fingerprint.

  • Cite this