Research Article

Comparison of Risk Assessment Strategies for Patients with Diabetes Mellitus and Stable Chest Pain: A Coronary Computed Tomography Angiography Study

Table 2

Characteristics by risk groups based on the NICE and ESC strategy.

TotalNICE strategyESC strategy
LowHighLowHigh

Age (years, )<0.0001<0.0001
Female331 (55)128 (49)203 (60)0.0078101 (43)230 (63)<0.0001
Hypertension409 (68)172 (65)237 (70)0.2763143 (60)266 (73)0.0017
Hyperlipidemia313 (52)130 (49)183 (54)0.3045109 (46)204 (56)0.0219
Smoking284 (47)111 (42)173 (51)0.038591 (38)193 (53)0.0007
Abnormal ECG259 (43)0 (0)259 (76)<0.000195 (40)164 (45)0.2760
Symptom<0.00010.0001
 Nonanginal chest pain284 (47)263 (100)21 (6)91 (38)193 (53)
 Atypical angina239 (40)0 (0)239 (71)100 (42)139 (38)
 Typical angina79 (13)0 (0)79 (23)46 (20)33 (9)
Obstructive CADb271 (45)65 (25)206 (61)<0.000112 (5)259 (71)<0.0001
MACE45 (7)13 (5)32 (9)0.04226 (3)39 (10)0.0001
Cardiac death11 (2)2 (1)9 (3)0.12440 (0)11 (3)0.0044
Nonfatal MI34 (5)11 (4)23 (6)0.23256 (3)28 (7)0.0067

SD: standard deviation; CAD: coronary artery disease; NICE strategy: 2016 National Institute of Health and Care Excellence guideline-determined risk assessment strategy; ESC strategy: 2019 European Society of Cardiology guideline-determined risk assessment strategy; ECG: electrocardiogram; MI: myocardial infarction; MACE: major adverse cardiovascular events. Values are presented as (%) unless stated otherwise.