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Diagnosis
Review: important bedside predictors are patient’s description of chest pain for CAD and electrocardiography for MI

https://doi.org/10.1136/ebm.10.2.54

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    Chun AA, McGee SR. Bedside diagnosis of coronary artery disease: a systematic review. Am J Med 2004;117:334–43.
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 Q What is the accuracy of bedside findings for diagnosing coronary artery disease (CAD) and acute myocardial infarction (MI)?

    Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Internal Medicine ★★★★☆☆☆ GP/FP/Emergency Medicine ★★★★☆☆☆ Emergency Medicine ★★★★★☆☆ Cardiology ★★★★★★☆

    METHODS

    Embedded ImageData sources:

    Medline (1966 to January 2003) and reference lists.

    Embedded ImageStudy selection and assessment:

    English language studies that included patients with symptoms suggestive of CAD, clearly defined clinical findings, had an independent comparison of the bedside finding with an acceptable diagnostic standard, and reported sufficient data to calculate sensitivity, specificity, and likelihood ratios (LRs). Studies were pooled using the random effects model.

    Embedded ImageOutcomes:

    detection of CAD (cardiac catheterisation showing substantial stenosis of any major epicardial vessel) or MI …

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    Footnotes

    • For correspondence: Dr A A Chun, University of Washington, Seattle, WA, USA. anchunu.washington.edu

    • Source of funding: not stated

    Linked Articles

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      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2005; 10 64-64 Published Online First: 30 Mar 2005. doi: 10.1136/ebm.10.2.64