Table 19Sensitivities and specificities of testing strategies (range used for sensitivity analysis)

StrategySensitivity for AMISensitivity for UASpecificity
No cardiac enzyme testing00100
Cardiac enzyme testing at presentation0.45 (0.3-0.6)0.10 (0.05-0.15)0.95 (0.85-0.98)
Cardiac enzyme testing at presentation and again at 6 hours after onset of pain0.85 (0.6-0.95)0.20 (0.1-0.4)0.95 (0.85-0.98)
Cardiac enzyme testing after 24 hour admission to hospital0.98 (0.9-1.0)0.50 (0.3-0.7)0.95 (0.85-0.98)

From: 4, People Presenting with Acute Chest Pain Chapter

Cover of Chest Pain of Recent Onset
Chest Pain of Recent Onset: Assessment and Diagnosis of Recent Onset Chest Pain or Discomfort of Suspected Cardiac Origin [Internet].
NICE Clinical Guidelines, No. 95.
National Clinical Guideline Centre for Acute and Chronic Conditions (UK).
Copyright © 2010, National Clinical Guideline Centre for Acute and Chronic Conditions.

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