Mortise et al developed a score based on clinical findings can be used to estimate the probability of coronary artery disease in men and women presenting with suspected coronary artery disease.
Parameters:
(1) age and gender
(2) pain symptoms
(3) estrogen status if female
(4) presence of comorbid conditions
|
Parameter |
Finding |
Points |
|---|---|---|
|
age and gender |
male > 55 years |
9 |
|
|
male 40-55 years |
6 |
|
|
male < 40 years |
3 |
|
|
female > 65 years |
9 |
|
|
female 50-65 years |
6 |
|
|
female < 50 years |
3 |
|
pain symptoms |
typical angina |
5 |
|
|
atypical angina |
3 |
|
|
nonanginal |
1 |
|
estrogen status |
male |
0 |
|
|
unknown |
0 |
|
|
negative |
3 |
|
|
positive |
-3 |
|
comorbid conditions |
diabetes mellitus |
2 |
|
|
hypertension |
1 |
|
|
smoking |
1 |
|
|
hyperlipidemia |
1 |
|
|
family history |
1 |
|
|
obesity |
1 |
where:
• Estrogen status is positive if the patient is premenopausal OR if the patient has missing or nonfunctioning ovaries with oral estrogen replacement.
• Estrogen status is negative if the patient is postmenopausal (ovaries missing or nonfunctioning) AND not receiving estrogen replacement therapy.
• Obesity is defined as BMI > 27.
coronary disease score =
= (points for age and gender) + (points for symptoms) + (points for estrogen status) + (points for comorbid conditions)
Interpretation:
• minimum score 0 (female < 50 and positive estrogen status)
• maximum score: 24
|
Coronary Disease Score |
Probability of Coronary Artery Disease |
|
0 - 8 |
low |
|
9 - 15 |
intermediate |
|
16 - 24 |
high |
Purpose: To estimate the probability of coronary artery disease in a patient based on clinical findings.
Specialty: Cardiology
Objective: risk factors, criteria for diagnosis, severity, prognosis, stage
ICD-10: I24, I25,
