TABLE 2.12Summary of the diagnostic accuracy of preoperative ECGs

STUDYOUTCOMESENSITIVITY (%)SPECIFICITY (%)POSITIVE PREDICTIVE VALUE (%)NEGATIVE PREDICTIVE VALUE (%)
Allman50Detecting silent myocardial ischaemia in patients who are hypertensive and taking antihypertensive medication25955584
Biavati45Detecting a complicated postoperative course in children < 18 years810073100
Gauss39Detecting postoperative cardiac morbidity and mortality53822295
Tait47Detecting postoperative cardiovascular eventsNot statedNot stated25.4*
17.6**
78.7*
77.5**
Gold54Detecting adverse events7558Not statedNot stated
Carliner59Detecting adverse cardiovascular events854122Not stated
*

Patients with cardiovascular risk factors;

**

patients with no cardiovascular risk factors.

Patients with cardiovascular risk factors;

patients with no cardiovascular risk factors.

From: Appendix 1, Results of a Systematic Review of the Literature for Routine Preoperative Testing

Cover of Preoperative Tests
Preoperative Tests: The Use of Routine Preoperative Tests for Elective Surgery.
NICE Clinical Guidelines, No. 3.
National Collaborating Centre for Acute Care (UK).
Copyright © 2003, National Collaborating Centre for Acute Care.

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