Table 4.
Diagnostic performance of CTCA in patients with (a) stable angina and (b) unstable angina
Prevalence of disease (%) | N | TP | TN | FP | FN | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | LR+ | LR− | Diagnostic accuracy (%) | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(a) Stable angina | 63 | 233 | 145 | 56 | 31 | 1 | 99 (96–100) | 64 (53–74) | 83 (76–88) | 98 (89–100) | 2.8 (2.1–3.7) | 0.01 (0.00–0.08) | 86 (82–91) |
A: CS <10 | 16 | 43 | 7 | 32 | 4 | 0 | 100 (56–100) | 89 (73–96) | 64 (32–88) | 100 (87–100) | 9.0 (3.6–22.7) | 0.00 (0.00–n/an) | 91 (82–99) |
B: CS 10 to <100 | 54 | 35 | 19 | 9 | 7 | 0 | 100 (79–100) | 56 (31–79) | 73 (52–88) | 100 (63–100) | 2.3 (1.3–4.0) | 0.00 (0.00–n/an) | 80 (67–93) |
C: CS 100 to <400 | 70 | 76 | 52 | 13 | 10 | 1 | 98 (89–100) | 57 (35–76) | 84 (72–92) | 93 (64–100) | 2.3 (1.4–3.6) | 0.03 (0.00–0.25) | 86 (78–93) |
D: CS ≥400 | 84 | 77 | 65 | 2 | 10 | 0 | 100 (93–100) | 17 (3–49) | 86 (76–93) | 100 (20–100) | 1.2 (0.9–1.5( | 0.00 (0.00–n/an) | 97 (80–95) |
A vs. D | NS | p = 0.023 | NS | NS | p < 0.0001 | n/an | NS | ||||||
(b) Unstable angina | 79 | 127 | 99 | 17 | 10 | 1 | 99 (94–100) | 63 (42–80) | 91 (83–95) | 94 (71–100) | 2.7 (1.6–4.4) | 0.02 (0.00–0.12) | 91 (86–96) |
A: CS <10 | 42 | 19 | 8 | 10 | 1 | 0 | 100 (60–100) | 91 (57–100) | 89 (51–100) | 100 (66–100) | 11.0 (1.7–71.3) | 0.00 (0.00–n/an) | 95 (85–100) |
B: CS 10 to <100 | 79 | 28 | 22 | 4 | 2 | 0 | 100 (82–100) | 67 (24–94) | 92 (72–99) | 100 (40–100) | 3.0 (1.0–9.3) | 0.00 (0.00–n/an) | 93 (83–100) |
C: CS 100 to <400 | 83 | 42 | 34 | 2 | 5 | 1 | 97 (93–100) | 29 (5–70) | 87 (72–95) | 67 (13–98) | 1.4 (0.9–2.2) | 0.10 (0.01–1.39) | 86 (75–96) |
D: CS ≥400 | 92 | 37 | 34 | 1 | 2 | 0 | 100 (87–100) | 33 (2–87) | 94 (80–99) | 100 (5–100) | 1.5 (0.7–3.3) | 0.00 (0.00–n/an) | 95 (87–100) |
A vs. D | NS | NS | NS | NS | p < 0.0001 | n/an | NS |
Diagnostic performance of CTCA in all patients with (a) stable angina and (b) unstable angina combined, and in subgroups per Agatston CS. Specificity and positive likelihood ratio decreased with increasing CS (p-value for the comparison by Chi-squared test across groups A and D)
Abbreviations as for Table 3