Mortise et al developed a score based on clinical findings can be used to estimate the probability of coronary artery disease in men and women presenting with suspected coronary artery disease.
(1) age and gender
(2) pain symptoms
(3) estrogen status if female
(4) presence of comorbid conditions
age and gender
male > 55 years
male 40-55 years
male < 40 years
female > 65 years
female 50-65 years
female < 50 years
• Estrogen status is positive if the patient is premenopausal OR if the patient has missing or nonfunctioning ovaries with oral estrogen replacement.
• Estrogen status is negative if the patient is postmenopausal (ovaries missing or nonfunctioning) AND not receiving estrogen replacement therapy.
• Obesity is defined as BMI > 27.
coronary disease score =
= (points for age and gender) + (points for symptoms) + (points for estrogen status) + (points for comorbid conditions)
• minimum score 0 (female < 50 and positive estrogen status)
• maximum score: 24
Coronary Disease Score
Probability of Coronary Artery Disease
0 - 8
9 - 15
16 - 24
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Purpose: To estimate the probability of coronary artery disease in a patient based on clinical findings.
Objective: risk factors, criteria for diagnosis, severity, prognosis, stage
ICD-10: I24, I25,