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
30 – 39 y	Women	Very Low	Very Low	Very Low	Intermediate
40 – 49 y	Men	Low	Intermediate	Intermediate	High
40 – 49 y	Women	Very Low	Very Low	Low	Intermediate
50 – 59 y	Men	Low	Intermediate	Intermediate	High
50 – 59 y	Women	Very Low	Low	Intermediate	Intermediate
60 – 69 y	Men	Low	Intermediate	Intermediate	High
60 – 69 y	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 |month= ignored (help)

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[pmid17060344-1] 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)

[1]

Coronary heart disease pretest probability

Overview

Pretest Probability

References

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