Table 3: Characteristics of meta-analyses included in Heijenbrok-Kal et al., 2007 systematic review*.
Study | Search Dates | Type of Stress ECHO | No of Studies Included | Patient Characteristics | % Diagnosed With CAD on CA | Pooled Sensitivity | Pooled Specificity | Other Technologies Evaluated |
---|---|---|---|---|---|---|---|---|
O’Keefe et al., 1995 (17) | Up until Dec 1993 | Ex ECHO Dob ECHO |
12 (913 patients) 14 (1049 patients) |
NR | 72 69 |
81 81 |
89 83 |
Ex SPECT, Ad SPECT |
Fleischmann et al., 1998 (18) | Jan 1990 - Oct 1997 | Ex ECHO | 24 (2637 patients) | mean age 59 yrs 69% men 20% previous MI |
66 | 85 | 77 | Ex SPECT |
Picano et al., 2000 (19) | 1985 -1998 | Dip ECHO Dob ECHO |
38 (2856 patients) 59 (5082 patients) |
26% previous MI 26% previous MI |
65 73 |
73 81 |
91 83 |
None |
de Albuquerque Fonseca et al., 2001 (20) | 1997-2000 | Dip ECHO Ex ECHO |
8 (533 patients) 8 (533 patients) |
NR | 74 74 |
72 79 |
92 82 |
None |
Kim et al, 2001 (21) | Jan 1997 - June 1999 | Ad ECHO | 6 (516 patients) | mean age 65 yrs 71% men 31% previous MI |
73 | 72 | 91 | Ad SPECT, Dip SPECT, Dob SEPCT, EBCT |
Dip ECHO | 20 (1835 patients) | mean age 56 yrs 72% men 15% previous MI |
67 | 70 | 93 | |||
Dob ECHO | 40 (4097 patients) | mean age 59 yrs 66% men 26% previous MI |
70 | 80 | 84 | |||
Imran et al., 2003 (22) | 1986 - March 2001 | Dip ECHO | 10 (651 patients) | NR | 67 | 70 | 90 | Mix SPECT |
Noguchi et al., 2005 (23) | 1981 - Dec 2001 | Ex ECHO | 44 (3714 patients) | mean age 57 yrs 73% men 11% previous MI |
70 | 83 | 84 | None |
Ad ECHO | 11 (678 patients) | mean age 64 yrs 76% men 21% previous MI |
77 | 68 | 81 | |||
Dob ECHO | 80 (7914 patients) | mean age 59 yrs 70% men 13% previous MI |
69 | 80 | 85 | |||
Dip ECHO | 40 (3466 patients) | mean age 56 yrs 73% men 9% previous MI |
70 | 71 | 92 |
Ad refers to adenosine; CAD, coronary artery disease; Dip, dipyridamole; Dob, dobutamine; ECHO, echocardiography; Ex, Exercise; Mix, combination of stressors; NR, not reported.
Table adapted from Heijenbrok-Kal et al. (1)