Pre-test probability of CAD

Age, year (30 - 80 y)

Sex

Male

Female

Symptom score (0-3 points)

Chest pain characteristics

Type and location: Constricting discomfort located retrosternally or in neck, jaw, shoulder or arm (I point)

Aggravated by Physical or emotional stress (1 point)

Relieved by Rest or nitrates within 5 min (1 point)

Dyspnea characteristics

Shortness of breath and/or trouble catching breath aggravated by physical exertion (2 points)

Number of risk factors for CAD (0–5):

Estimate the Risk Factor-weighted Clinical Likelihood (RF-CL) of obstructive CAD

Result

-

References

Christiaan Vrints, Felicita Andreotti, Konstantinos C Koskinas, Xavier Rossello, Marianna Adamo, James Ainslie, Adrian Paul Banning, Andrzej Budaj, Ronny R Buechel, Giovanni Alfonso Chiariello, Alaide Chieffo, Ruxandra Maria Christodorescu, Christi Deaton, Torsten Doenst, Hywel W Jones, Vijay Kunadian, Julinda Mehilli, Milan Milojevic, Jan J Piek, Francesca Pugliese, Andrea Rubboli, Anne Grete Semb, Roxy Senior, Jurrien M ten Berg, Eric Van Belle, Emeline M Van Craenenbroeck, Rafael Vidal-Perez, Simon Winther, ESC Scientific Document Group , 2024 ESC Guidelines for the management of chronic coronary syndromes: Developed by the task force for the management of chronic coronary syndromes of the European Society of Cardiology (ESC) Endorsed by the European Association for Cardio-Thoracic Surgery (EACTS), European Heart Journal, Volume 45, Issue 36, 21 September 2024, Pages 3415–3537, https://doi.org/10.1093/eurheartj/ehae177

Pre-test probability of CAD

Symptom score (0-3 points)

Number of risk factors for CAD (0–5):

Estimate the Risk Factor-weighted Clinical Likelihood (RF-CL) of obstructive CAD

Result

Consider reclassification of low RF-CL (> 5–15%) using CACS to identify very low (≤ 5%) CACS-CL (IIa)