Reference | Study Type | # Patients Studied | # Patients with Abnormal EKG | # Patients identified at high risk for SCD | Number with normal H&P but abnormal EKG | Tests used to identify the patients at risk? | # False positive EKGs |
---|---|---|---|---|---|---|---|
Drezner, 2015 | Retrospective | 790 | 22 (2.8%) | 5 (0.6%) | 4 (80%) | EKG | 17 (2.2%) |
Mayer, 2012 | Prospective | 692 | 71 (10.3%) | 25 (3.6%) | 32 (4%) had either abnormal history or physical exam | EKG and echo | Not mentioned |
Anderson, 2014 | Prospective | 659 | 79 (12.0%) | 5 (0.8%) | Of 79 with abnormal EKG, 11 (14%) had abnormal H&P | Physical, ECG, then ECHO was done | Not mentioned |
Fuller, 1997 | Prospective | 5,615 | 146 (2.6%) | Not mentioned | History was negative in all and Physical detected 1/5615 | History, physical and EKG | 130 (2.3%) |
Price, 2014 | Prospective | 2,017 | 62 (3.1%) | 5 (0.2%) | History and physical detected 2 of the abnormalities at risk for SCD | History, physical, ECG, then ECHO | 2 (0.2%) |
Le, 2010 | Retrospective | 658 | 222 (33.7% ) | 8 (1.2%) | Not mentioned | History, physical, then EKG | Not mentioned |
Riding NR, 2015 | Prospective | 2,491 | 132 (5.5%) | 10 (0.4%) | Not mentioned | Used \“Refined Criteria\”* Cardiovascular screening, ECG, then ECHO | specificity 94% |
*Refined criteria is a combination of Seattle Criteria and European Society criteria. Only those who fulfilled the Refined Criteria, would get further testing, such as stress test or echo.