Table 1. Overall accuracy of the clinical features of heart failure.
Clinical features with high sensitivity can help us rule out the disease when a patient has a negative result. Whereas clinical features with high specificity are useful when ruling in a patient's disease37,43.
| Clinical features | Sensitivity (%) | Specificity (%) |
|---|---|---|
| History of MI | 26 | 89 |
| Dyspnea | 87 | 51 |
| Orthopnea | 44 | 89 |
| Peripheral edema | 53 | 72 |
| Lung crepatation | 51 | 81 |
| Elevated jugular venous pressure/ jugular venous distention | 52 | 70 |
| Cardiomegaly | 27 | 85 |
| Pathologic S3 or S4 heart sounds | 11 | 99 |
| Hepatomegaly | 17 | 97 |
| ECG in HFrEF | 89 | 56 |
| BNP | 93 | 74 |
| NT-proBNP | 93 | 65 |
| Chest radiograph | 68 | 83 |
| Echocardiography in HFpEF | 85 | 96 |
| Echocardiography in HFrEF | 96 | 80 |