Coronary heart disease pretest probability
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pretest probability of coronary artery disease is assessed basing upon the age, gender and the symptoms. Patients are stratified into very low, low, intermediate, and high risk for CAD.[1]
Pretest Probability
Data exists for patients of age group 30 - 70 years. It can be assumed that risk/prevalence of coronary artery disease increases with age. Shown below is a tabulated form of pretest probabilities based upon age, gender, and symptoms. (Adapted from the presentation of Robert B. McCully,MD)
| Age | Gender | Asymptomatic | Non-Anginal Chest Pain | Atypical Chest Pain |
Typical Chest Pain |
| 30 - 39 y | Men | Very Low | Low | Intermediate | Intermediate |
| Women | Very Low | Very Low | Very Low | Intermediate | |
| 40 - 49 y | Men | Low | Intermediate | Intermediate | High |
| Women | Very Low | Very Low | Low | Intermediate | |
| 50 - 59 y | Men | Low | Intermediate | Intermediate | High |
| Women | Very Low | Low | Intermediate | Intermediate | |
| 60 - 69 y | Men | Low | Intermediate | Intermediate | High |
| Women | Low | Intermediate | Intermediate | High |
Key Points
- Low Probability
- Asymptomatic men and women of all ages.
- Women of age < 50 years with atypical chest pain.
- Intermediate Probability
- Men of all ages with atypical angina.
- Women > 49 years of age with atypical angina.
- Women of age group 30 - 50 years with typical angina.
- High Probability
- Men > 39 years with typical angina.
- Women > 59 years with typical angina.
References
- ↑ Messerli FH, Mancia G, Conti CR, Pepine CJ (2006). "Guidelines on the management of stable angina pectoris: executive summary: the task force on the management of stable angina pectoris of the European society of cardiology". European Heart Journal. 27 (23): 2902–3, author reply 2903. doi:10.1093/eurheartj/ehl308. PMID 17060344. Retrieved 2012-10-18. Unknown parameter
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