Morise et al developed a score for determining the risk of coronary artery disease (CAD) in an adult prior to perform exercise testing. The authors are from West Virginia University.
Parameters:
(1) gender and age
(2) estrogen status (if female)
(3) angina history
(4) hyperlipidemia
(5) current or prior smoking
(6) diabetes mellitus
(7) hypertension
(8) family history of premature coronary artery disease (< 60 years of age)
(9) obesity (based on body mass index)
|
Parameter |
Finding |
Points |
|
age and gender |
male < 40 years |
3 |
|
|
male 40 to 54 years |
6 |
|
|
male >= 55 years |
9 |
|
|
female < 50 years |
3 |
|
|
female 50 to 64 years |
6 |
|
|
female >= 65 years |
9 |
|
estrogen status if female |
positive |
-3 |
|
|
negative |
+3 |
|
angina history |
none |
0 |
|
|
non-anginal |
1 |
|
|
atypical |
3 |
|
|
typical |
5 |
|
hyperlipidemia |
no |
0 |
|
|
yes |
1 |
|
current or prior smoking |
no |
0 |
|
|
yes |
1 |
|
diabetes |
no |
0 |
|
|
yes |
2 |
|
hypertension |
no |
0 |
|
|
yes |
1 |
|
family history |
no |
0 |
|
|
yes |
1 |
|
obesity |
BMI <= 27 kg per sq m |
0 |
|
|
BMI > 27 kg per sq m |
1 |
where:
• Since “prior smoking” could be almost anything, recent smoking will be used instead.
total score =
= SUM(points for all 9 parameters)
Interpretation:
• minimum score for males: 3
• maximum score for males: 21
• minimum score for females: 0
• maxium score for females: 24
• The higher the score the greater the risk for coronary artery disease (CAD).
|
Score |
Risk for CAD |
|
<= 8 |
low |
|
9 to 15 |
intermediate |
|
>= 16 |
high |
Purpose: To estimate a patient's risk of having coronary artery disease (CAD) prior to exercise testing using the pretest score of Morise et al.
Specialty: Cardiology, Sports Medicine & Rehabilitation
Objective: risk factors, criteria for diagnosis
ICD-10: I24, I25,
