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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Comparing 3 different risk estimates for the pretest likelihood of CAD in symptomatic patients

Comparing 3 different risk estimates for the pretest likelihood of CAD in symptomatic patients
Age (year) Nonanginal chest pain Atypical angina Typical angina
Men Women Men Women Men Women
Diamond/Forrester and CASS data[1]
30 to 39 4 2 34 12 76 26
40 to 49 13 3 51 22 87 55
50 to 59 20 7 65 31 93 73
60 to 69 27 14 72 51 94 86
Duke database*[2]
35 3 to 35 1 to 19 8 to 59 2 to 39 30 to 88 10 to 78
45 9 to 47 2 to 22 21 to 70 5 to 43 51 to 92 20 to 79
55 23 to 59 4 to 21 45 to 79 10 to 47 80 to 95 38 to 82
65 49 to 69 9 to 29 71 to 86 20 to 51 93 to 97 56 to 84
European database[3]
30 to 39 18 5 29 10 59 28
40 to 49 25 8 38 14 69 37
50 to 59 34 12 49 20 77 47
60 to 69 44 17 59 28 84 58
70 to 79 54 24 69 37 89 68
>80 65 32 78 47 93 76
CAD: coronary artery disease; ECG: electrocardiogram.
* Each value represents the percentage with significant CAD. The lowest (first) value of each range is the likelihood of CAD for a low-risk patient without diabetes mellitus, smoking, or hyperlipidemia. The highest (second) value of each range is the likelihood of CAD for a high-risk patient of the same age with diabetes mellitus, smoking, and hyperlipidemia. Both high- and low-risk patients have normal resting ECGs.
¶ Probabilities of obstructive coronary disease shown reflect the estimates for patients aged 35, 45, 55, 65, 75 and 85 years.
References:
  1. Diamond GA, Forrester JS. Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease. N Engl J Med 1979; 300: 1350.
  2. Pryor DB, Shaw L, McCants CB, et al. Value of the history and physical in identifying patients at increased risk for coronary artery disease. Ann Intern Med 1993; 118:81.
  3. Montalescot G, Sechtem U, Achenbach S, et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J 2013; 34:2949.
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