Ho et al reported a clinical score for evaluating a patient with normal or mildly abnormal resting ECG and known or suspected coronary artery disease.
Parameters:
(1) sex
(2) history of myocardial infarction
(3) typical angina
(4) diabetes
(5) insulin use
(6) age, from 40 to 90 years
|
Parameter
|
Findings
|
Points
|
|
sex
|
female
|
0
|
|
|
male
|
1
|
|
history of MI
|
no
|
0
|
|
|
yes
|
1
|
|
typical angina
|
no
|
0
|
|
|
yes
|
1
|
|
diabetes
|
no
|
0
|
|
|
not using insulin
|
1
|
|
|
using insulin
|
2
|
|
age
|
|
INT(((age) - 40)/10)
|
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the greater the risk for myocardial infarction and mortality.
|
Clinical Score
|
Annual Mortality
|
|
<= 4
|
0.6%
|
|
5
|
2.4%
|
|
6 to 10
|
6.2%
|
