Mild VHD
(C) General practitioners
PositiveNegativeTotal
 Murmur present552782PPV: 67% (56% to 77%)
 Murmur absent11554169NPV: 32% (25% to 40%)
 Total17081251Prev: 68% (62% to 73%)
Sens: 32% (25% to 40%)Spec: 67% (55% to 77%)
LR+: 0.97 (0.67 to 1.41)LR−: 1.01 (0.84 to 1.22)
(D) Cardiologists (mean rating)
PositiveNegativeTotal
 Murmur present371451PPV: 73% (58% to 84%)
 Murmur absent13367200NPV: 34% (27% to 40%)
 Total17081251Prev: 68% (62% to 73%)
Sens: 22% (16% to 29%)Spec: 83% (73% to 90%)
LR+: 1.26 (0.72 to 2.19)LR−: 0.95 (0.83 to 1.07)
  • LR+, positive likelihood ratio; LR−, negative likelihood ratio; NPV, negative predictive value; PPV, positive predictive value; Prev, prevalence; Sens, sensitivity; Spec, specificity; VHD, valvular heart disease.