Table 1

Overall accuracy of clinical features of heart failure

Number of patients (studies)Sensitivity (%)Specificity (%)Youden index*
History of AMI1769 (10)268915
Dyspnoea2187 (5)875138
Orthopnoea2901 (6)448933
Paroxysmal nocturnal dyspnoea1786 (3)No summary results
Oedema3736 (12)537225
Tachycardia1582 (3)No summary results
Elevated JVP3353 (7)527022
Cardiomegaly405 (1)278512
Added heart sounds2948 (6)119910
Lung crepitation4619 (11)518132
Hepatomegaly1058 (1)179714
  • * Youden index = Sensitivity % + specificity % − 100%. This is a measure of the overall diagnostic accuracy of the test, with a maximum score of 100.

  • AMI, acute myocardial infarction; JVP, jugular venous pressure.