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Heart 84:334-338 doi:10.1136/heart.84.3.334
  • Education in Heart

The diagnosis of heart failure

Table 1

Predictive values of clinical features5

Sensitivity (%) Specificity
(%)
PPV (%) NPV (%)
Past history of myocardial infarction 59 86 44 92
Ingesting diuretic 73 41 19 89
Dyspnoea on exertion 100 17 18 100
Orthopnoea 22 74 14 83
Paroxysmal nocturnal dyspnoea 39 80 27 87
Oedema in history 49 47 15 83
Jugular venous pressure distension 17 98 64 86
Crackles 29 77 19 85
Gallop rhythm 24 99 77 87
Oedema on examination 20 86 21 85
  • PPV, positive predictive value; NPV, negative predictive value.

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