Assessment of the exercise electrocardiogram in women versus men using tomographic myocardial perfusion imaging as the reference standard

The exercise electrocardiogram (ECG) is widely believed to be less accurate in women, primarily due to a high prevalence of false-positive tests. The purpose of this study was to examine the relative accuracy of the exercise ECG in women versus men in 8,671 patients (3,213 women, 5,458 men) using my...

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Bibliographic Details
Published in:The American journal of cardiology 2001-04, Vol.87 (7), p.868-873
Main Authors: Miller, Todd D, Roger, Veronique L, Milavetz, James J, Hopfenspirger, Mona R, Milavetz, Donna L, Hodge, David O, Gibbons, Raymond J
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cardiology. Vascular system
Coronary Artery Disease - diagnostic imaging
Coronary heart disease
Electrocardiography
Electrocardiography - standards
Exercise
Exercise Test - standards
Female
Gender
Heart
Humans
Male
Medical sciences
Middle Aged
Predictive Value of Tests
Radionuclide Imaging
Sensitivity and Specificity
Technetium Tc 99m Sestamibi
Thallium Radioisotopes
Tomography
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Summary:The exercise electrocardiogram (ECG) is widely believed to be less accurate in women, primarily due to a high prevalence of false-positive tests. The purpose of this study was to examine the relative accuracy of the exercise ECG in women versus men in 8,671 patients (3,213 women, 5,458 men) using myocardial perfusion imaging as the reference standard. More women (14%) than men (10%) had a false-positive ECG (p
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(00)01528-9