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{{Coronary heart disease}}
{{CMG}}
{{CMG}}
==Overview==
==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.
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.<ref name="pmid17060344">{{cite journal |author=Messerli FH, Mancia G, Conti CR, Pepine CJ |title=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 |journal=[[European Heart Journal]] |volume=27 |issue=23 |pages=2902–3; author reply 2903 |year=2006 |month=December |pmid=17060344 |doi=10.1093/eurheartj/ehl308 |url=http://eurheartj.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=17060344 |accessdate=2012-10-18}}</ref>
 
==Pretest Probability==
==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.
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. (<font size="1">Adapted from the presentation of Robert B. McCully,MD</font>)
Shown below is a tabulated form of pretest probabilities based upon age, gender, and symptoms. (<font size="1">Adapted from the presentation of Robert B. McCully,MD</font>)


{|border="1"
{|class="wikitable"
|-
|-
| Age || Gender || Asymptomatic || Non-Anginal Chest Pain ||  Atypical Chest Pain || Typical Chest Pain
| '''Age''' || '''Gender''' || '''Asymptomatic''' || '''Non-Anginal Chest Pain''' ||  '''Atypical Chest Pain''' ||  
'''Typical Chest Pain'''
|-
|-
| rowspan="2" | 30 - 39 y
| rowspan="2" | '''30 - 39 y'''
| Men
| Men
| Very Low
| Very Low
Line 18: Line 21:
| Intermediate
| Intermediate
|-
|-
| Row 2, Col 2
| Women
| Row 2, Col 3
| Very Low
| Row 2, Col 4
| Very Low
| Row 2, Col 5
| Very Low
| R0w 2, Col 6
| Intermediate
|-
| rowspan="2" | '''40 - 49 y'''
| Men
| Low
| Intermediate
| Intermediate
| High
|-
| Women
| Very Low
| Very Low
| Low
| Intermediate
|-
|rowspan="2" | '''50 - 59 y'''
| Men
| Low
| Intermediate
| Intermediate
| High
|-
| Women
| Very Low
| Low
| Intermediate
| Intermediate
|-
|rowspan="2" | '''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==
==References==
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{{WH}}
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{{WS}}
{{WS}}
[[Category:Disease]]
[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]

Latest revision as of 15:23, 8 January 2013

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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

  1. ↑ 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 |month= ignored (help)

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