Table 4

Diagnostic performance of MACS-ECG

Original cut-offOriginal cut-offOptimised cut-off
Sensitivity (95% CI)2.3% (0.28% to 8.06%)50.57% (39.6% to 61.5%)
Specificity (95% CI)99.5% (98.6% to 99.9%)83.11% (79.9% to 86.0%)
NPV (95% CI)87.6% (87.3% to 88.0%)92.1% (90.4% to 93.5%)
PPV (95% CI)40.0% (10.2% to 79.7%)30.1% (24.7% to 36.2%)
  • Original cut-off: predicted probability for NSTEMI of 27.4%.

  • Optimised cut-off: predicted probability for NSTEMI of 9.56% AMI.

  • AMI, acute myocardial infraction; MACS-ECG, Manchester Acute Coronary Syndromes ECG; NPV, negative predictive value; NSTEMI, non-ST elevation myocardial infarction; PPV, positive predictive value.