Table 5. Diagnostic Accuracy of Rest MPI in Patients With Acute Chest Pain and a Nonischemic ECG.
| Reference | n | Radiopharmaceutical | Sensitivity, % | Specificity, % | NPV, % | Outcome |
|---|---|---|---|---|---|---|
| Varetto et al111 | 64 | Tc-mibi | 100 | 92 | 100 | CAD |
| Hilton et al112 | 102 | Tc-mibi | 94 | 83 | 99 | CAD/AMI |
| Tatum et al113 | 438 | Tc-mibi | 100 | 78 | 100 | AMI |
| Kontos et al116 | 532 | Tc-mibi | 93 | 71 | 99 | AMI |
| Heller et al115 | 357 | Tc-tet | 90 | 60 | 99 | AMI |
| Kontos et al114 | 620 | Tc-mibi | 92 | 67 | 99 | AMI |
| Udelson et al*71 | 1215 | Tc-mibi | 96 | NR | 99 | AMI |
| Schaeffer et al117 | 479 | Tc-mibi | 77 | 92 | 99 | ACS |
NPV indicates negative predictive value; AMI, acute MI; Tc-mibi, 99mTc-sestamibi; Tc-tet, 99mTc-tetrofosmin; and NR, not reported.
Randomized controlled trial.
Adapted from Kontos and Tatum.107