Comparison of American College of Cardiology/American Heart Association Guideline and Clinical Judgment Using Troponin-I for Diagnosis of Patients Having Myocardial Infarction Within 30 Days
| Intervention | Sensitivity | Specificity | Positive Likelihood Ratio | Negative Likelihood Ratio | PPV | NPV |
|---|---|---|---|---|---|---|
| 2002 ACC/AHA guidelines (high vs. intermediate and low risk) | 1.00 (0.65–1.00) | 0.15 (0.15–0.15) | 1.18 (0.77–1.18) | 0 (0–2.37) | 0.02 (0.01–0.02) | 1.0 (0.96–1.00) |
| 2002 ACC/AHA guidelines (high and intermediate vs. low risk) | 1.00 (0.65–1.00) | 0.13 (0.12–0.13) | 1.15 (0.75–1.15) | 0 (0–2.81) | 0.02 (0.01–0.02) | 1.00 (0.95–1.00) |
| Clinical judgment (high vs. low risk) | 1.00 (0.65–1.00) | 0.48 (0.47–0.48) | 1.91 (1.22–1.91) | 0 (0–0.75) | 0.03 (0.02–0.03) | 1.00 (0.97–1.00) |
Values in parentheses are 95% CI.
PPV, positive predictive value; NPV, negative predictive value.