Cardiovascular Medicine Book

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Dermatology

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Marburg Heart Score

Aka: Marburg Heart Score
  1. See Also
    1. CAD Pretest Probability in Chest Pain Presentation
  2. Criteria
    1. Score 1: Age >= 65 years in women, >=55 years in men
    2. Score 1: Known clinical vascular disease (e.g. CAD, Cerebrovascular Disease)
    3. Score 1: Chest Pain increases with Exercise
    4. Score 1: Chest Pain not reproduced with palpation of the chest wall
    5. Score 1: Patient assumes pain is of cardiac etiology
  3. Interpretation
    1. Background
      1. Based on CAD Pretest Probability in Chest Pain Presentation
    2. Total Score: 0 to 1 (Likelihood Ratio 0.04)
      1. CAD Population Risk 2%: Post-test Risk 0.1%
      2. CAD Population Risk 10%: Post-test Risk 0.4%
      3. CAD Population Risk 20%: Post-test Risk 0.9%
    3. Total Score: 2 to 3 (Likelihood Ratio 0.92)
      1. CAD Population Risk 2%: Post-test Risk 1.8%
      2. CAD Population Risk 10%: Post-test Risk 9.3%
      3. CAD Population Risk 20%: Post-test Risk 18.8%
    4. Total Score: 4 to 5 (Likelihood Ratio 11.2)
      1. CAD Population Risk 2%: Post-test Risk 18.6%
      2. CAD Population Risk 10%: Post-test Risk 55.5%
      3. CAD Population Risk 20%: Post-test Risk 73.7%
  4. References
    1. Haesenritter (2012) Br J Gen Pract 62(599):e415-21

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