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Risk Factor-Weighted Clinical Likelihood in Suspected Chronic Coronary Syndrome: Useful First-Step Triage, but Not the Whole Diagnostic Story
The 2024 ESC-endorsed RF-CL model improves estimation of obstructive CAD probability in symptomatic patients, safely reducing unnecessary testing, but symptom ambiguity, qualitative upper ranges, and limited capture of ischemia without obstruction remain important practical constraints.