Model of Clayton et al for Predicting Cardiovascular Complications in a Patient with Stable Angina (ACTION Model)

age in years

<= 60 years of age

0

> 60 years of age

0.055 * ((age) – 60)

gender

female

0

male

0.16

left ventricular ejection fraction

>= 60%

0

< 60%

0.034 * (60 – (LVEF))

smoking history

never

0

quit

0.12

current

0.60

white blood cell count

<= 5,000 per µL

0

> 5,000 per µL

0.068 * ((WBC in thousands) –5)

diabetes mellitus

no

0

non-insulin dependent

0.13

insulin dependent

0.85

glucose and diabetes

<= 100 mg/.dL and no diabetes

0

> 100 mg/dL and no diabetes

0.0072 * ((glucose) – 100)

<= 100 mg/dL and diabetes not insulin dependent

0

> 100 mg/dL and diabetes not insulin dependent

0.0032 * ((glucose) – 100)

insulin dependent

0

serum creatinine

< 1.15 mg/dL

0

>= 1.15 mg/dL

0.078 * ((creat) – 1.15) / 0.1

previous stroke

no

0

yes

0.53

angina frequency

less than once per week

0

>= 1 episode per week

0.22

angiography

not done

0.11

>= 3 vessels diseased

0.25 (left main counts as 2)

0 or 1 or 2

0

lipid lowering therapy

no

0.21

yes

0

QT interval

< 430 ms

0

>= 430 ms

0.23

systolic blood pressure

< 155 mm Hg

0

>= 155 mm Hg

0.21

drugs for angina

none

0

1

0.13

2

0.26

>= 3

0.39

history of previous MI

no

0

yes

0.4

0 to 3.0

(3.152 * ((score)^2)) - (0.614 * (score)) + 0.719

3.0 to 4.5

(31.8 * (score)) - 68

4.5 to 5.75

(-13 * ((score)^2)) + (153.1 * (score)) – 350.7