The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
Exercise Stress Testing: Correlations among History of Angina, ST-Segment Response and Prevalence of Coronary-Artery Disease in the Coronary Artery Surgery Study (CASS)
Abstract
To determine to what extent the diagnostic accuracy of stress testing is influenced by the prevalence of coronary-artery disease, we correlated the description of chest pain, the result of stress testing and the results of coronary arteriography in 1465 men and 580 women from a multicentered clinical trial. The pre-test risk (prevalence of coronary-artery disease) varied from 7 to 87 per cent, depending on sex and classification of chest pain. A positive stress test increased the pre-test risk by only 6 to 20 per cent, whereas a negative test decreased the risk by only 2 to 28 per cent. Aothough the percentage of false-positive results differed between men and women (12 +/- 1 per cent versus 53 +/- 3 per cent P less than 0.001), this difference was not seen in a subgroup matched for prevalence of coronary-artery disease. We conclude that the ability of stress testing to predict coronary-artery disease is limited in a heterogeneous population in which the prevalence of disease can be estimated through classification of chest pain and the sex of the patient.
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Citations
Cites
Exercise capacity and mortality among men referred for exercise testing
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Age-predicted maximal heart rate revisited
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Kodama, S. (2009) · JAMA · doi:10.1001/jama.2009.681 · Cited by 3,035
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Accelerated longitudinal decline of aerobic capacity in healthy older adults
Fleg, J. L., Morrell, C. H., Bos, A. G., Brant, L. J., Talbot, L. A., Wright, J. G., & Lakatta, E. G. (2005) · Circulation · doi:10.1161/circulationaha.105.545459 · Cited by 970
Newman, A. B., Simonsick, E. M., Naydeck, B. L., Boudreau, R. M., Kritchevsky, S. B., Nevitt, M. C., Pahor, M., Satterfield, S., Brach, J. S., Studenski, S. A., et al. (2006) · JAMA · doi:10.1001/jama.295.17.2018 · Cited by 934
Scientific evidence underlying the ACC/AHA clinical practice guidelines.
Tricoci, P. (2009) · JAMA · doi:10.1001/jama.2009.205 · Cited by 908
Diller, G.-P., Dimopoulos, K., Okonko, D., Li, W., Babu-Narayan, S. V., Broberg, C. S., Johansson, B., Bouzas, B., Mullen, M. J., Poole-Wilson, P. A., et al. (2005) · Circulation · doi:10.1161/circulationaha.104.529800 · Cited by 878
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Self-citationBlood Pressure Response to Heart Rate During Exercise Test and Risk of Future Hypertension
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Cited by
Insights From the NHLBI-Sponsored Women’s Ischemia Syndrome Evaluation (WISE) Study
Shaw, L. J., Bairey Merz, C. N., Pepine, C. J., Reis, S. E., Bittner, V., Kelsey, S. F., Olson, M., Johnson, B. D., Mankad, S., Sharaf, B. L., et al. (2006) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.01.072 · Cited by 721
The Evaluation of Chest Pain in Women
Douglas, P. S., & Ginsburg, G. S. (1996) · New England Journal of Medicine · doi:10.1056/nejm199605163342007 · Cited by 369
Moons, K. G. M., van Es, G.-A., Deckers, J. W., Habbema, J. D. F., & Grobbee, D. E. (1997) · Epidemiology · doi:10.1097/00001648-199701000-00002 · Cited by 189
Marwan, M., Ropers, D., Pflederer, T., Daniel, W. G., & Achenbach, S. (2009) · Heart · doi:10.1136/hrt.2008.153353 · Cited by 89
Cardiovascular Disease in Women
Stock, E. O., & Redberg, R. (2012) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2012.07.001 · Cited by 65
Metadata
- Authors
- Weiner, D. A., Ryan, T. J., McCabe, C. H., Kennedy, J. W., Schloss, M., Tristani, F., Chaitman, B. R., & Fisher, L. D.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1979-08-02
- Volume
- 301
- Issue
- 5
- Pages
- 230-235
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2341139907
- Cited by
- 589
- References
- 12
- FWCI
- 27.25
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Exercise Stress Testing: Correlations among History of Angina, ST-Segment Response and Prevalence of Coronary-Artery Disease in the Coronary Artery Surgery Study (CASS). https://app.cochat.ai/papers/10.1056/nejm197908023010502
- The paper
- Weiner, D. A., Ryan, T. J., McCabe, C. H., Kennedy, J. W., Schloss, M., Tristani, F., Chaitman, B. R., & Fisher, L. D. (1979). Exercise Stress Testing: Correlations among History of Angina, ST-Segment Response and Prevalence of Coronary-Artery Disease in the Coronary Artery Surgery Study (CASS). New England Journal of Medicine. https://doi.org/10.1056/nejm197908023010502
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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