Hurune, Patricia N; O'Shea, Justine; Maguire, Graeme P; Hewagama, Saliya

Author(s)

Hurune, Patricia N

O'Shea, Justine

Maguire, Graeme P

Hewagama, Saliya

Publication Date

2013-08-05

Abstract

To determine the utility of exercise electrocardiography testing (EET) in evaluating suspected coronary artery disease in a remote Australian setting where a significant proportion of patients are Indigenous Australians. Retrospective cohort study with grouping based on EET results. 268 patients with suspected coronary artery disease who underwent EET at Alice Springs Hospital--a specialist teaching hospital in Central Australia with no resident specialist cardiology service--in the period 1 June 2009 to 31 May 2010. Diagnosis of coronary artery disease, based on coronary angiography and/or admission with acute coronary syndrome, in the 24 months after EET. Indigenous patients were younger, more likely to be women and were twice as likely as non-Indigenous patients to have a chronic disease. Indigenous patients and those with a chronic disease had a higher proportion of inconclusive results. Completed EET had a positive predictive value of 48.1% (95% CI, 28.7%-68.1%) and a negative predictive value of 96.5% (95% CI, 93.2%-98.5%). Similar results were seen among Indigenous and non-Indigenous patients. In regional and remote Australian settings, EET remains an important tool for the diagnosis of coronary artery disease. It is useful, and is reassuring to patients and clinicians if the result is negative, particularly in a remote Indigenous Australian population with a significant burden of cardiovascular risk.

Citation

Med J Aust . 2013 Aug 5;199(3):201-4. doi: 10.5694/mja13.10364.

Pubmed ID

https://pubmed.ncbi.nlm.nih.gov/23909544/?otool=iaurydwlib

Link

https://hdl.handle.net/10137/5643

MESH subject

Adult

Aged

Australia

Cohort Studies

Confidence Intervals

Coronary Artery Disease

Databases, Factual

Electrocardiography

Exercise Test

Female

Health Services, Indigenous

Humans

Male

Mass Screening

Middle Aged

Odds Ratio

Predictive Value of Tests

Retrospective Studies

Rural Population

Medically Underserved Area

Title

Utility of exercise electrocardiography testing for the diagnosis of coronary artery disease in a remote Australian setting.

Type of document

Journal Article

Entity Type

Publication

Author(s)	Hurune, Patricia N O'Shea, Justine Maguire, Graeme P Hewagama, Saliya
Publication Date	2013-08-05
Abstract	To determine the utility of exercise electrocardiography testing (EET) in evaluating suspected coronary artery disease in a remote Australian setting where a significant proportion of patients are Indigenous Australians. Retrospective cohort study with grouping based on EET results. 268 patients with suspected coronary artery disease who underwent EET at Alice Springs Hospital--a specialist teaching hospital in Central Australia with no resident specialist cardiology service--in the period 1 June 2009 to 31 May 2010. Diagnosis of coronary artery disease, based on coronary angiography and/or admission with acute coronary syndrome, in the 24 months after EET. Indigenous patients were younger, more likely to be women and were twice as likely as non-Indigenous patients to have a chronic disease. Indigenous patients and those with a chronic disease had a higher proportion of inconclusive results. Completed EET had a positive predictive value of 48.1% (95% CI, 28.7%-68.1%) and a negative predictive value of 96.5% (95% CI, 93.2%-98.5%). Similar results were seen among Indigenous and non-Indigenous patients. In regional and remote Australian settings, EET remains an important tool for the diagnosis of coronary artery disease. It is useful, and is reassuring to patients and clinicians if the result is negative, particularly in a remote Indigenous Australian population with a significant burden of cardiovascular risk.
Citation	Med J Aust . 2013 Aug 5;199(3):201-4. doi: 10.5694/mja13.10364.
Pubmed ID	https://pubmed.ncbi.nlm.nih.gov/23909544/?otool=iaurydwlib
Link	https://hdl.handle.net/10137/5643
MESH subject	Adult Aged Australia Cohort Studies Confidence Intervals Coronary Artery Disease Databases, Factual Electrocardiography Exercise Test Female Health Services, Indigenous Humans Male Mass Screening Middle Aged Odds Ratio Predictive Value of Tests Retrospective Studies Rural Population Medically Underserved Area
Title	Utility of exercise electrocardiography testing for the diagnosis of coronary artery disease in a remote Australian setting.
Type of document	Journal Article
Entity Type	Publication

Utility of exercise electrocardiography testing for the diagnosis of coronary artery disease in a remote Australian setting.

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