Table 4

Clinical Outcomes in 55-Year-Old Men and Women With Chest Pain

Test StrategyNonfatal MI*Nonfatal Stroke*Life Expectancy, yrsQALYs
MenWomenMenWomenMenWomenMenWomen
CTA–stress ECG341192573377.36181.63313.63216.605
Stress ECG–CTA350198593477.16581.54813.55216.571
CTA341192573377.3681.63313.63116.604
Stress ECG350196593377.19881.58213.56616.582
Stress echocardiography347195593377.24781.58413.58616.585
Stress SPECT343193573377.33181.62813.6216.6
Cardiac catheterization339192573377.31681.60113.60516.588
No exam380211663776.62281.36413.3316.5

Cath = invasive cardiac catheterization; QALY = quality-adjusted life-year; other abbreviations as in Table 1.

  • * Lifetime prevalence/1,000 patients undergoing diagnostic testing; adverse events only tracked in patients with CAD.