What clinical characteristics can help predict a 1% chance of coronary stenosis in a 32-year-old woman with nonanginal chest pain?
Clinical characteristics that can help predict a 1% chance of coronary stenosis in a 32-year-old woman with nonanginal chest pain include active or recent smoking, Q-wave or ST-T-wave changes on the ECG, hyperlipidemia (defined at the time of study as a total cholesterol level .250 mg/dL), and diabetes mellitus (defined at that time as a fasting glucose level .140 mg/dL). Of these characteristics, diabetes mellitus had the greatest influence on increasing the probability of IHD. The presence of hypertension or a family history of premature IHD did not provide additional predictive accuracy.