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. 2012 Apr;129(4):e999–e1010. doi: 10.1542/peds.2011-0643

TABLE 3.

Implications of Screening ECG and/or ECHO on PPV, NPV, Number Needed to Screen, False-Positives, and False-Negatives for Illustrative Points on the HSROC Curve

Prevalence per 100 000 Sensitivity Specificity PPV NPV Number Needed to Screen to Detect 1 Case Number of False-Positives When Detecting 1 Case Number of False-Negatives per 100 000 Screened
Illustrative point where sensitivity and specificity are equally weighted (maximal accuracy) with prevalence from meta-analysis
HCM & ECG 45 0.847 0.848 0.0025 (1/400) 0.9999 2624 399 7
HCM & ECHO 45 0.851 0.851 0.0026 (1/390) 0.9999 2611 389 7
HCM & ECG/ECHO 45 0.837 0.837 0.0023 (1/434) 0.9999 2655 433 7
LQTS & ECG 7 0.861 0.860 0.0004 (1/2324) 0.9999 16 592 2323 1
WPW & ECG 136 1.000 1.000 1.0000 1.0000 735 0 0
Illustrative point where specificity is given more weight (maximal specificity) with prevalence from meta-analysis
HCM & ECG 45 0.039 0.999 0.0173 (1/58) 0.9996 56 980 57 43
HCM & ECHO 45 0.607 0.999 0.2146 (1/5) 0.9998 3661 4 18
HCM & ECG/ECHO 45 0.514 0.999 0.1879 (1/5) 0.9998 4323 4 22
LQTS & ECG 7 0.106 0.999 0.0074 (1/136) 0.9999 134 771 135 6
WPW & ECG 136 1.000 1.000 1.0000 1.0000 735 0 0
Illustrative point where sensitivity and specificity are equally weighted (maximal accuracy) with oft-cited prevalence
HCM & ECG 20019 0.847 0.848 0.0110 (1/91) 0.9996 590 90 31
HCM & ECHO 20019 0.851 0.851 0.0113 (1/88) 0.9996 588 87 30
HCM & ECG/ECHO 20019 0.837 0.837 0.0102 (1/98) 0.9996 597 97 33
LQTS & ECG 5013 0.861 0.860 0.0031 (1/326) 0.9999 2323 325 7
WPW & ECG 20020 1.000 1.000 1.0000 1.0000 500 0 0
Illustrative point where specificity is given more weight (maximal specificity) with oft-cited prevalence
HCM & ECG 20019 0.039 0.999 0.0725 (1/14) 0.9981 12 821 13 192
HCM & ECHO 20019 0.607 0.999 0.5488(1/2) 0.9992 824 1 79
HCM & ECG/ECHO 20019 0.514 0.999 0.5074 (1/2) 0.9990 973 1 97
LQTS & ECG 5013 0.106 0.999 0.0504 (1/20) 0.9996 18 868 19 45
WPW & ECG 20020 1.000 1.000 1.0000 1.0000 500 0 0

ECG/ECHO, ECG combined with ECHO.