### Description

Assmann et al developed a simple risk score for predicting the risk of an acute coronary event based on the Prospective Cardiovascular Munster (PROCAM) study. This can help identify a patient who may benefit from an intervention to reduce cardiovascular risk. The authors are from the University of Munster.

Patient selection: 35 to 65 years of age

Acute coronary event was either an acute myocardial infarction or death following a myocardial infarction.

Parameters:

(1) age in years

(2) serum LDL cholesterol

(3) serum HDL cholesterol

(4) serum triglycerides

(5) cigarette smoking

(6) diabetes mellitus

(7) family history of myocardial infarction

(8) systolic blood pressure in mm Hg

Parameter

Finding

Points

age of the patient in years

35 - 39 years

0

40 - 44 years

6

45 - 49 years

11

50 - 54 years

16

55 - 59 years

21

60 - 65 years

26

serum LDL cholesterol

< 100 mg/dL

0

100 - 129 mg/dL

5

130 - 159 mg/dL

10

160 - 189 mg/dL

14

>= 190 mg/dL

20

serum HDL cholesterol

< 35 mg/dL

11

35 - 44 mg/dL

8

45 - 54 mg/dL

5

>= 55 mg/dL

0

serum triglycerides

< 100 mg/dL

0

100 - 149 mg/dL

2

150 - 199 mg/dL

3

>= 200 mg/dL

4

cigarette smoking

no

0

yes

8

diabetes mellitus

no

0

yes

6

family history of MI

no

0

yes

4

systolic blood pressure

< 120 mm Hg

0

120 - 129 mg/dL

2

130 - 139 mg/dL

3

140 - 159 mm Hg

5

>= 160 mm Hg

8

total score =

= SUM(points for all 8 parameters)

Interpretation:

• minimum score: 0

• maximum score: 87

• The higher the score the greater the risk of an acute coronary event within the next 10 years.

 Score Predicted Risk of an Acute Coronary Event within the Next 10 years 0 - 20 < 1% 21 - 28 1 - 2% 29 - 37 2 - 5% 38 - 44 5 - 10% 45 - 53 10 - 20% 54 - 61 20 - 40% 62 - 87 >= 40%