pretestcad: Pretest Probability for Coronary Artery Disease
An application to calculate a patient's pretest probability
(PTP) for obstructive Coronary Artery Disease (CAD) from a collection
of guidelines or studies. Guidelines usually comes from the American
Heart Association (AHA), American College of Cardiology (ACC) or
European Society of Cardiology (ESC). Examples of PTP scores that
comes from studies are the 2020 Winther et al. basic, Risk
Factor-weighted Clinical Likelihood (RF-CL) and Coronary Artery
Calcium Score-weighted Clinical Likelihood (CACS-CL) models
<doi:10.1016/j.jacc.2020.09.585>, 2019 Reeh et al. basic and clinical
models <doi:10.1093/eurheartj/ehy806> and 2017 Fordyce et al. PROMISE
Minimal-Risk Tool <doi:10.1001/jamacardio.2016.5501>. As diagnosis of
CAD involves a costly and invasive coronary angiography procedure for
patients, having a reliable PTP for CAD helps doctors to make better
decisions during patient management. This ensures high risk patients
can be diagnosed and treated early for CAD while avoiding unnecessary
testing for low risk patients.
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