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January 12, 2005

Global Risk Score and Exercise Testing

JAMA. 2005;293(2):159-160. doi:10.1001/jama.293.2.159-b

To the Editor: Dr Aktas and colleagues1 concluded that the Framingham Risk Score performed worse than the European SCORE in predicting all-cause mortality, and that abnormal exercise testing (especially impaired functional capacity or heart rate recovery) predicted clinically important increased mortality for participants in the highest tertile of risk predicted by the European SCORE. They suggest that an elevated European SCORE may be helpful in determining which asymptomatic patients to refer for exercise testing and that if exercise testing is done, it should be limited to the highest risk group.

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