Clinical features | Score |
---|---|
Degree of coronary artery obstruction (% diameter occluded) | |
No coronary artery disease (⩽ 50%) | 0 |
1 vessel disease (50 to 74%) | 6 |
> 1 vessel disease (50 to 74%) | 7 |
1 vessel disease (75 to 89%) | 7 |
1 vessel disease (⩾ 90%) | 10 |
2 vessel disease (50 to 89%) | 12 |
2 vessel disease (both ⩾ 90%) | 13 |
1 vessel disease (⩾ 90% in PLAD) | 15 |
2 vessel disease (⩾ 90% in left anterior descending artery) | 15 |
2 vessel disease (⩾ 90% in PLAD) | 18 |
3 vessel disease | 18 |
3 vessel disease (⩾ 90% in at least one artery) | 20 |
3 vessel disease (⩾ 75% in PLAD) | 21 |
3 vessel disease (⩾ 90% in PLAD) | 24 |
Left main (50 to 74%) | 25 |
Left main (75 to 89%) | 26 |
Left main (⩾ 90%) | 32 |
Angina: Canadian Cardiovascular Society class after appropriate treatment | |
Class I: angina on strenuous exertion | 1 |
Class II: angina on walking or climbing stairs rapidly | 2 |
Class III: angina on walking one or two level blocks | 8 |
Class IV-A | 16 |
Class IV-B | 20 |
Class IV-C | 23 |
Exercise stress test (Bruce protocol) | |
Negative | 0 |
Mildly positive | 4 |
Positive | 8 |
Very positive | 16 |
Extremely positive | 20 |
Left ventricular function | |
< 35% | 10 |
35 to 50% | 6 |
> 50% | 0 |
Social factors: ability to work, care for dependents or live independently | |
Not threatened but more difficult | 1 |
Threatened but not immediately | 5 |
Immediately threatened | 15 |
Total score | 100 |
Age: If ⩾ 70, prognostic adjustment = (100 − age) ÷ 30 |
↵2-150 Modified by a professional advisory committee in October 1996. PLAD, proximal left anterior descending coronary artery.