Gensini Score for Determining the Severity of Coronary Artery Disease

Purpose: To grade the severity of coronary artery disease based on the degree of luminal obstruction using the scoring system proposed by Gensini.

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Evaluation

Has the patient had coronary angiography?

Yes

Select an appropriate answer for each arterial segment which indicate the degree of luminal obstruction

Right coronary artery, proximal

Right coronary artery, mid

Right coronary artery, distal

Left main coronary artery

Left anterior descending, proximal

Left anterior descending, mid

Primary diagnonal

Secondary diagnonal

Apical

Left circumflex artery, proximal

Left circumflex artery, distal

Obtuse marginal

Posterolateral

Posterior descending

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Gensini score

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Prognostic Factors of Diderholm et al for a Patient with Unstable Coronary Artery Disease
- Manchester Acute Coronary Syndromes (MACS) Rule of Body et al for a Patient with Acute Chest Pain
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- Algorithm for Evaluating a Patient with Chest Pain
- Chest Pain Score for Evaluating Patient with Spontaneous Chest Pain

Therapy

Selection

Monitoring

Disease Progression
- Prognostic Scores | Acute Coronary Syndromes (ACS)
Complication Detection
- Algorithm for Evaluating a Patient with Chest Pain
- Prognostic Scores | Acute Coronary Syndromes (ACS)

Specialty

Cardiology

Objective

severity
prognosis
stage

ICD-10

I20 - Angina pectoris
I21 - Acute myocardial infarction

Info

Purpose: To grade the severity of coronary artery disease based on the degree of luminal obstruction using the scoring system proposed by Gensini.

Specialty: Cardiology

Objective: severity, prognosis, stage

ICD-10: I20, I21,

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