TY - JOUR T1 - Stress echocardiography safely classified more patients as low risk of serious CAD than exercise electrocardiography JF - Evidence Based Medicine JO - Evid Based Med SP - 119 LP - 119 DO - 10.1136/ebm.12.4.119 VL - 12 IS - 4 A2 - , Y1 - 2007/08/01 UR - http://ebm.bmj.com/content/12/4/119.abstract N2 - Jeetley P, Burden L, Stoykova B, et al. Clinical and economic impact of stress echocardiography compared with exercise electrocardiography in patients with suspected acute coronary syndrome but negative troponin: a prospective randomized controlled study. Eur Heart J 2007;28:204–11.OpenUrlAbstract/FREE Full Text 
 
 Q In patients with suspected acute coronary syndrome and a negative cardiac troponin test, is stress echocardiography (SEcho) better than exercise electrocardiography (ExECG) for predicting risk of serious coronary artery disease (CAD)? Clinical impact ratings Internal medicine ★★★★★★☆ Cardiology ★★★★★☆☆ Design: randomised controlled trial. Allocation: unclear allocation concealment.* Blinding: unblinded.* Follow up period: median 8.7 months. Setting: hospital in Harrow, Middlesex, UK. Patients: 433 patients (mean age 61 y, 57% men) with suspected acute coronary syndrome, non-diagnostic ECG, negative cardiac troponin test result, and ⩾2 risk factors for CAD. Patients with known CAD awaiting revascularisation were excluded. Intervention: risk of CAD was determined by SEcho using either treadmill or pharmacological testing (n = 215) or ExECG (n = 218) (negative test  =  low risk, positive test  =  high risk, and inconclusive test  =  pretest risk as determined … ER -