Coronary disease & ACS

Mortality score in chronic coronary syndrome: prediction model from the ISCHEMIA trial

Eur J Prev CardiolPublished Prognostic model development and validation study

An erratum to this article was published (Eur J Prev Cardiol, 5 Aug 2026 ↗)

Authors' conclusion

The ISCHEMIA-PREDICT score provides a practical tool to stratify cardiovascular and all-cause mortality among CCS patients, enabling risk-guided clinical decision-making.

Study context

Population
Patients with chronic coronary syndromes (CCS)validation registry n = 23,303
Participants
5,179 patients
Outcome
Model discrimination for CV and all-cause death
Follow-up
Median 3.2 years
Methodological detailsmachine learning analysis of the ISCHEMIA randomised controlled trial, external validation in multicentre registry
  • Machine learning analysis of the ISCHEMIA randomised controlled trial
  • External validation in multicentre registry

Performance

As reported in the abstract

Model discrimination (ISCHEMIA-PREDICT: eGFR, exercise-induced ST depression, exercise duration, SBP, multivessel CAD, invasive vs conservative strategy)

AUC, CV mortality

0.94

95% CI 0.92–0.96

AUC, all-cause mortality (0.91-0.96)

0.94

Further findings

OutcomeHighest quartileLowest quartileHR (CI)
CV mortality, highestvs lowest quartileDifference 6.0%7.10 %1.10%6.65 (3.15–14.03)

All-cause mortality discrimination, external registry validation · median follow-up 7.4 years

AUC (0.81-0.84)
0.82

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Mortality score in chronic coronary syndrome: prediction model from the ISCHEMIA trial. Eur J Prev Cardiol. Published 11 March 2026. doi:10.1093/eurjpc/zwag116

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.