II. Indications
- Intermittent Chest Pain in outpatients
- Evaluate likelihood based on history alone, whether Chest Pain represents coronary cause
III. Criteria
- Score 1: Age >= 65 years in women, >=55 years in men
- Score 1: Known clinical vascular disease (e.g. CAD, Cerebrovascular Disease)
- Score 1: Chest Pain increases with Exercise
- Score 1: Chest Pain not reproduced with palpation of the chest wall
- Score 1: Patient assumes pain is of cardiac etiology
IV. Interpretation
- Background
- Total Score: 0 to 1 (Likelihood Ratio 0.04)
- CAD Population Risk 2%: Post-test Risk 0.1%
- CAD Population Risk 10%: Post-test Risk 0.4%
- CAD Population Risk 20%: Post-test Risk 0.9%
- Total Score: 2 to 3 (Likelihood Ratio 0.92)
- CAD Population Risk 2%: Post-test Risk 1.8%
- CAD Population Risk 10%: Post-test Risk 9.3%
- CAD Population Risk 20%: Post-test Risk 18.8%
- Total Score: 4 to 5 (Likelihood Ratio 11.2)
- CAD Population Risk 2%: Post-test Risk 18.6%
- CAD Population Risk 10%: Post-test Risk 55.5%
- CAD Population Risk 20%: Post-test Risk 73.7%
V. References
- Haesenritter (2012) Br J Gen Pract 62(599):e415-21