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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Coronary heart disease pretest probability

Introduction

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.[1]

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. 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

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)

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]