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Heart 95:1495-1501 doi:10.1136/hrt.2008.164772
  • Original article

Dual-phase multi-detector computed tomography assesses jeopardised and infarcted myocardium subtending infarct-related artery early after acute myocardial infarction

Table 3

Accuracy of MDCT according to the presence and absence of SPECT-SRS ⩾2 without/with corresponding significant stenoses on CCA in the infarct-related territory

SPECT-SRS ⩾2 SPECT-SRS ⩾2 plus CCA
CTA (culprit lesion 50%)
    Sensitivity 93.8% (60/64) 98.4% (60/61)
    Specificity 18.6% (8/43) 23.9% (11/46)
    Negative predictive value 66.7% (8/12) 91.7% (11/12)
    Positive predictive value 63.2% (60/95) 63.2% (60/95)
    Accuracy 63.6% (68/107) 68.2% (71/107)
MDCT-jeopardised score (2.5) plus CTA (culprit lesion 50%)
    Sensitivity 85.9% (55/64) 90.2% (55/61)
    Specificity 79.1% (34/43) 80.4% (37/46)
    Negative predictive value 79.1% (34/43) 86.0% (37/43)
    Positive predictive value 85.9% (55/64) 85.9% (55/64)
    Accuracy 83.2% (89/107) 86.0% (92/107)

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