Table 3

Diagnostic performance of copeptin and different troponin assays and their combination at presentation in patients with and without pre-existing coronary artery disease (CAD)

Sensitivity (95% CI)Specificity (95% CI)Negative predictive value (95% CI)Positive predictive value (95% CI)
Patients with pre-existing CAD
Copeptin 9 pmol/l (cut-off)75.6 (64.6 to 84.7)56.3 (51.0 to 61.6)91.3 (86.8 to 94.7)27.6 (21.7 to 34.1)
Roche troponin T fourth generation (cTnT)
 cTnT 0.01 μg/l (cut-off)78.2 (67.4 to 86.8)90.1 (86.6 to 93.0)95.0 (92.1 to 97.0)63.5 (53.1 to 73.1)
 + Copeptin 9 pmol/l (cut-off)98.7 (93.0 to 99.8)53.5 (48.2 to 58.8)99.5 (97.1 to 99.9)31.8 (26.0 to 38.1)
Roche high-sensitive troponin T (hs-cTnT)
 hs-cTnT 0.014 μg/l (cut-off)93.6 (85.7 to 97.9)60.2 (55.0 to 65.4)97.7 (94.8 to 99.3)34.1 (27.8 to 40.9)
 + Copeptin 9 pmol/l (cut-off)98.7 (93.0 to 99.8)41.4 (36.2 to 46.7)99.3 (96.3 to 99.9)27.0 (22.0 to 32.6)
Patients without pre-existing CAD
Copeptin 9 pmol/l (cut-off)67.9 (58.2 to 76.7)69.4 (65.7 to 73.0)92.8 (90.1 to 95.0)27.2 (21.9 to 33.0)
Roche troponin T fourth generation (cTnT)
 cTnT 0.01 μg/l (cut-off)83.0 (74.5 to 89.6)94.6 (92.6 to 96.2)97.1 (95.4 to 98.3)72.1 (63.3 to 79.9)
 + Copeptin 9 pmol/l (cut-off)98.1 (93.3 to 99.7)66.9 (63.1 to 70.5)99.5 (98.3 to 99.9)33.2 (28.0 to 38.8)
Roche high-sensitive troponin T (hs-cTnT)
 hs-cTnT 0.014 μg/l (cut-off)94.3 (88.1 to 97.9)81.8 (78.5 to 84.7)98.9 (97.5 to 99.6)46.5 (39.7 to 52.4)
 + Copeptin 9 pmol/l (cut-off)99.1 (94.8 to 99.8)60.1 (56.1 to 63.9)99.7 (98.5 to 100.0)29.4 (24.7 to 34.4)