Coronary disease & ACS

Long-term prognostic value of contemporary stress echocardiography in patients with suspected or known coronary artery disease: systematic review and meta-analysis

HeartPublished Systematic review and meta-analysis

Pooled result · MACEResult — go to the resultOdds ratio 2.04 95% CI 1.79–2.33

Authors' conclusion

Positive stress echocardiography results were associated with poorer long-term MACE and all-cause mortality.

Study context

Population
Patients with suspected or known CAD undergoing pharmacological or treadmill stress echocardiography, studies since 2000
Participants
16,581 patients · 6 trials
Comparison
Positive vs negative stress echocardiography
Outcome
MACE:
  • All-cause mortality or CV death and non-fatal MI
  • Per trial definition
Follow-up
Median 31 months (range 21-101)
Methodological detailscommon-effect model
  • Common-effect model

Pooled result

MACE

Odds ratio

2.04

95% CI 1.79–2.33

By group

Positive stress echocardiography vs Negative stress echocardiography
OR 2.04 (95% CI 1.79–2.33)

As reported in the abstract

Further pooled results

Annual event rate

OutcomePositive stress echocardiographyNegative stress echocardiographyOR (95% CI)
All-cause mortality1.68%1.02%2.06 (1.80–2.35)

Overall annual event rates (all patients)

Major adverse cardiovascular event (MACE) annual event rate
1.76%
All-cause mortality annual event rate
1.35%

Original publication

Long-term prognostic value of contemporary stress echocardiography in patients with suspected or known coronary artery disease: systematic review and meta-analysis. Heart. Published 23 August 2024. doi:10.1136/heartjnl-2024-324534

Summarised from the published abstract; every number is checked against it

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