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J Am Coll Cardiol, 2002; 39:1601-1607
© 2002 by the American College of Cardiology Foundation
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Stress test criteria used in the conservative arm of the frisc-ii trial underdetects surgical coronary artery disease whenapplied to patients in the vanqwish trial

Abhinav Goyal, MD*, Frederick F. Samaha, MD, FACC{dagger}{ddagger}, William E. Boden, MD, FACC§, Michael J. Wade, MS|| and Stephen E. Kimmel, MD, MS, FACC{dagger},*

* University of Pennsylvania School of Medicine, Department of Medicine, Philadelphia, Pennsylvania, USA
{dagger} Cardiovascular Division, Philadelphia, Pennsylvania, USA
{ddagger} Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
§ Hartford Hospital, Hartford, Connecticut, USA
|| Veterans Affairs Medical Center, Syracuse, New York, USA
Center for Clinical Epidemiology and Biostatistics, Philadelphia, Pennsylvania, USA



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  		Figure 1 Study design. *There were 458 patients in the conservative arm of VANQWISH; 73 with prior coronary artery bypass graft surgery were excluded from our study. {dagger}Eighty-seven of these patients also met VANQWISH criteria for cath; three did not (two patients had ST-segment elevation on exercise stress testing, and one experienced angina at low workload). Cath = cardiac catheterization; D-MPI = dipyridamole myocardial perfusion imaging; FRISC-II = Fast Revascularization During Instability in Coronary Artery Disease trial; ST{downarrow} = ST-segment depression; VANQWISH = Veterans Affairs Non–Q-Wave Infarction Strategies in Hospital trial.

 




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