《Table 2 Sensitivity and specificity non-invasive test》

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《Risk stratification for coronary artery disease in multi-ethnic populations:Are there broader considerations for cost efficiency》

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Guideline referral for diagnostic evaluation is guided by PTP.All males start with a PTP of>15%and thus warrant at least a Stress ECG.Females between30 and 39 years have PTP 10%and clinical judgement may suffice.When PTP is>85%，e.g.，males>60 years with t

Australia has seen a national rise and fall trend for IHD deaths，for example 29637deaths（23%of all deaths）vs 22983（17%of all deaths）were reported in 1996 and 2006respectively[16].Table 1 and Heart Foundation report summarizes the epidemiology in context[17].A divergent pattern does emerge when data is broken down into states and regions within states.Remoteness，certain ethnics groups and socioeconomic demographics do not fit into the rise and fall trend when data is looked at in totally or if mortality is reduced，IHD burden remains high，e.g.，Aboriginal and Torrens Strait Islanders，lower socioeconomic status，younger and advanced ages[18].This then raises the question about fixed screening protocols for diagnostics and preventive strategies and its cost-efficacy.