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Kelder Rule for Risk of Heart Failure with Reduced Ejection Fraction
Apr 20, 2020
•
Mark Morgan
categories:
Cardiovascular
Kelder Rule to Determine Risk of Heart Failure with Reduced Ejection Fraction in the Primary Care Setting
< 60 (0 points)
60 to 70 (4 points)
> 80 (10 points)
<-- Age (years)
< 100 (0 points)
100 to 199 (8 points)
200 to 399 (16 points)
400 to 799 (24 points)
800 to 1,599 (32 points)
1,600 to 3,199 (40 points)
> 3,200 (48 points)
<-- N-terminal prohormone BNP (pg per mL)
False (0 points)
True (15 points)
<-- Myocardial infarction, coronary artery bypass grafting, or percutaneous coronary intervention
False (0 points)
True (10 points)
<-- Loop diuretic
False (0 points)
True (20 points)
<-- Displaced apex beat
False (0 points)
True (14 points)
<-- Rales basal or more
False (0 points)
True (11 points)
<-- Irregularly irregular pulse
False (0 points)
True (10 points)
<-- Heart murmur suggestive of mitral regurgitation
60 or below (0 points)
61 (0.33 points)
62 (0.67 points)
63 (1 point)
64 (1.33 points)
65 (1.67 points)
66 (2 points)
67 (2.33 points)
68 (2.67 points)
69 (3 point)
70 (3.33 points)
71 (3.67 points)
72 (4 points)
73 (4.33 points)
74 (4.67 points)
75 (5 points)
76 (5.33 points)
77 (5.67 points)
78 (6 points)
79 (6.33 points)
80 (6.67 points)
81 (7 points)
82 (7.33 points)
83 (7.67 points)
84 (8 points)
85 (8.33 points)
86 (8.67 points)
87 (9 points)
88 (9.33 points)
89 (9.67 points)
90 (10 points)
91 (10.33 points)
92 (10.67 points)
93 (11 points)
94 (11.33 points)
95 (11.67 points)
96 (12 points)
97 (12.33 points)
98 (12.67 points)
99 (13 points)
100 (13.33 points)
101 (13.67 points)
102 (14 points)
103 (14.33 points)
104 (14.67 points)
105 (15 points)
106 (15.33 points)
107 (15.67 points)
108 (16 points)
109 (16.33 points)
110 (16.67 points)
111 (17 points)
112 (17.33 points)
113 (17.67 points)
114 (18 points)
115 (18.33 points)
116 (18.67 points)
117 (19 points)
118 (19.33 points)
119 (19.67 points)
120 (20 points)
<-- Pulse rate (Beats per minute)
False (0 points)
True (12 points)
<-- Elevated jugular venous pressure
Score -->
number
score1=(variable_1)+(variable_2)+(variable_3)+(variable_4)+(variable_5)+(variable_6)+(variable_7)+(variable_8)+(variable_9)+(variable_10)
Interpretation (external validation panel's probability of heart failure in patients with new symptoms suggestive of heart failure) -->
result
score2=(variable_1)+(variable_2)+(variable_3)+(variable_4)+(variable_5)+(variable_6)+(variable_7)+(variable_8)+(variable_9)+(variable_10);score2>54?'87.5 percent':score2>23?'38.3 percent':score2>12?'15.9 percent':'4.7 percent'
References (Hide/Show)
#1
Kelder JC, Cramer MJ, van Wijngaarden J, van Tooren R, Mosterd A, Moons KG, Lammers JW, Cowie MR, Grobbee DE, Hoes AW. The diagnostic value of physical examination and additional testing in primary care patients with suspected heart failure. Circulation. 2011 Dec 20;124(25):2865-73.
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