Receiver operating characteristic (ROC) curves and the definition of threshold levels to diagnose coronary artery disease on electrocardiographic stress testing. Part II: The use of ROC curves in the choice of electrocardiographic stress test markers of ischaemia

Journal of Cardiovascular Medicine

Volumn 9, Issue 1, 2008, Pages 22-31

  Marazìa, Stefania ^a   Barnabei, Luca ^a   De Caterina, Raffaele ^a  

^a UNIVERSITY OF CHIETI   (Italy)

Author keywords

Electrocardiography; Receiver operating characteristic; ROC curve; Sensitivity; Specificity; Stress test

Indexed keywords

CORONARY ARTERY DISEASE; DIAGNOSTIC ACCURACY; DIAGNOSTIC PROCEDURE; ELECTROCARDIOGRAPHY; EXERCISE TEST; HUMAN; HYSTERESIS; ISCHEMIA; LABORATORY DIAGNOSIS; RECEIVER OPERATING CHARACTERISTIC; REVIEW; SENSITIVITY AND SPECIFICITY; ST SEGMENT DEPRESSION; HOSPITALIZATION; METHODOLOGY; PATHOPHYSIOLOGY; ROC CURVE;

CORONARY DISEASE; ELECTROCARDIOGRAPHY; EXERCISE TEST; HUMANS; ROC CURVE; SEVERITY OF ILLNESS INDEX;

EID: 40349103712     PISSN: 15582027     EISSN: None     Source Type: Journal    
DOI: 10.2459/JCM.0b013e32813ef418     Document Type: Review

References (33)

1. Patterson RE, Horowitz SF. Importance of epidemiology and biostatistics in deciding clinical strategies for using diagnostic tests: a simplified approach using examples from coronary artery disease. J Am Coll Cardiol 1989; 13:1653-1665.
2. Zweig MH, Campbell G. Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine. Clin Chem 1993; 39:561-577.
3. Lehtinen R, Sievanen H, Turjanmaa V, Niemela K, Malmivuo J. Effect of ST segment measurement point on performance of exercise ECG analysis. Int J Cardiol 1997; 61:239-245.
4. Myrianthefs MM, Nicolaides EP, Pitiris D, Demetriades EI, Zambartas CM. False positive ST-segment depression during exercise in subjects with short PR segment and angiographically normal coronaries: correlation with exercise-induced ST depression in subjects with normal PR and normal coronaries. J Electrocardiol 1998; 31:203-208.
5. Okin PM, Anderson KM, Levy D, Kligfield P. Heart rate adjustment of exercise-induced ST segment depression. Improved risk stratification in the Framingham Offspring Study. Circulation 1991; 83:866-874.
6. Okin PM, Bergman G, Kligfield P. Effect of ST segment measurement point on performance of standard and heart rate-adjusted ST segment criteria for the identification of coronary artery disease. Circulation 1991; 84:57-66.
7. Detrano R, Gianrossi R, Mulvihill D, Lehmann K, Dubach P, Colombo A, et al. Exercise-induced ST segment depression in the diagnosis of multivessel coronary disease: a meta analysis. J Am Coll Cardiol 1989; 14:1501-1508.
8. Bruce RA, McDonough JR. Stress testing in screening for cardiovascular disease. Bull N Y Acad Med 1969; 45:1288-1305.
9. Chin CF, Messenger JC, Greenberg PS, Ellestad MH. Chronotropic incompetence in exercise testing. Clin Cardiol 1979; 2:12-18.
10. McNeer JF, Margolis JR, Lee KL, Kisslo JA, Peter RH, Kong Y, et al. The role of the exercise test in the evaluation of patients for ischemic heart disease. Circulation 1978; 57:64-70.
11. Ellestad MH. Chronotropic incompetence. The implications of heart rate response to exercise (compensatory parasympathetic hyperactivity?). Circulation 1996; 93:1485-1487.
12. Morise AP, Duval RD. Diagnostic accuracy of heart rate-adjusted ST segments compared with standard ST-segment criteria. Am J Cardiol 1995; 75:118-121.
13. Okin PM, Bergman G, Kligfield P. Heart rate adjustment of the time-voltage ST segment integral: identification of coronary disease and relation to standard and heart rate-adjusted ST segment depression criteria. J Am Coll Cardiol 1991; 18:1487-1492.
14. Okin PM, Kligfield P. Heart rate adjustment of ST segment depression and performance of the exercise electrocardiogram: a critical evaluation. J Am Coll Cardiol 1995; 25:1726-1735.
15. Okin PM, Prineas RJ, Grandits G, Rautaharju PM, Cohen JD, Crow RS, et al. Heart rate adjustment of exercise-induced ST-segment depression identifies men who benefit from a risk factor reduction program. Circulation 1997; 96:2899-2904.
16. Elamin MS, Mary DA, Smith DR, Linden RJ. Prediction of severity of coronary artery disease using slope of submaximal ST segment/heart rate relationship. Cardiovasc Res 1980; 14:681-691.
17. Fletcher GF, Balady GJ, Amsterdam EA, Chaitman B, Eckel R, Fleg J, et al. Exercise standards for testing and training: a statement for healthcare professionals from the American Heart Association. Circulation 2001; 104:1694-1740.
18. Okin PM, Kligfield P. Effect of exercise protocol and lead selection on the accuracy of heart rate-adjusted indices of ST-segment depression for detection of three-vessel coronary artery disease. J Electrocardiol 1989; 22:187-194.
19. Detrano R, Salcedo E, Passalacqua M, Friis R. Exercise electrocardiographic variables: a critical appraisal. J Am Coll Cardiol 1986; 8:836-847.
20. Herpin D, Ferrandis J, Borderon P, Gaudeau B, Ragot S, Gigon S, et al. Comparison of the diagnostic accuracy of different methods of measurement of heart rate-adjusted ST-segment depression during exercise testing for identification of coronary artery disease. Am J Cardiol 1995; 76:1147-1151.
21. Viik J. Modes of heart rate compensations during exercise ECG test. Anadolu Kardiyol Derg 2005; 5:312-314.
22. Kligfield P, Ameisen O, Okin PM. Heart rate adjustment of ST segment depression for improved detection of coronary artery disease. Circulation 1989; 79:245-255.
23. Kligfield P, Okin PM, Goldberg HL. Value and limitations of heart rate-adjusted ST segment depression criteria for the identification of anatomically severe coronary obstruction: test performance in relation to method of rate correction, definition of extent of disease, and beta-blockade. Am Heart J 1993; 125 (Pt 1):1262-1268.
24. Kligfield P, Okin PM. Heart rate adjustment of ST segment depression: is the glass half empty or half full? J Am Coll Cardiol 1992; 19:19-20.
25. Okin PM, Ameisen O, Kligfield P. Recovery-phase patterns of ST segment depression in the heart rate domain. Identification of coronary artery disease by the rate-recovery loop. Circulation 1989; 80:533-541.
26. Vallebona A, Gigli G. Diagnostic accuracy of exercise testing for diagnosis of coronary artery disease: the need for a critical review. Ital Heart J Suppl 2000; 1:897-904.
27. Lehtinen R, Sievanen H, Viik J, Turjanmaa V, Niemela K, Malmivuo J. Accurate detection of coronary artery disease by integrated analysis of the ST-segment depression/heart rate patterns during the exercise and recovery phases of the exercise electrocardiography test. Am J Cardiol 1996; 78:1002-1006.
28. Bogaty P, Guimond J, Robitaille NM, Rousseau L, Simard S, Rouleau JR, et al. A reappraisal of exercise electrocardiographic indexes of the severity of ischemic heart disease: angiographic and scintigraphic correlates. J Am Coll Cardiol 1997; 29:1497-1504.
29. White CW, Wright CB, Doty DB, Hiratza LF, Eastham CL, Harrison DG, et al. Does visual interpretation of the coronary arteriogram predict the physiologic importance of a coronary stenosis? N Engl J Med 1984; 310:819-824.
30. Gordon JB, Ganz P, Nabel EG, Fish RD, Zebede J, Mudge GH, et al. Atherosclerosis influences the vasomotor response of epicardial coronary arteries to exercise. J Clin Invest 1989; 83:1946-1952.
31. Haronian HL, Remetz MS, Sinusas AJ, Baron JM, Miller HI, Cleman MW, et al. Myocardial risk area defined by technetium-99m sestamibi imaging during percutaneous transluminal coronary angioplasty: comparison with coronary angiography. J Am Coll Cardiol 1993; 22:1033-1043.
32. McKillop JH, Murray RG, Turner JG, Bessent RG, Lorimer AR, Greig WR. Can the extent of coronary artery disease be predicted from thallium-201 myocardial images? J Nucl Med 1979; 20:714-719.
33. Kaul S, Kiess M, Liu P, Guiney TE, Pohost GM, Okada RD, et al. Comparison of exercise electrocardiography and quantitative thallium imaging for one-vessel coronary artery disease. Am J Cardiol 1985; 56:257-261.