In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.

EAPC quiz: Chronological age vs A-BEST

By Giuseppe Biondi-Zoccai, Population Science and Public Health Section

Preventive Cardiology
Risk Factors and Prevention

The case

A female patient, 58-years-old, with hypertension and dyslipidaemia, asks what her long-term prognosis is just after completing an ECG exercise stress test.

Test your knowledge


Note: The views and opinions expressed on this page are those of the author and may not be accepted by others. While every attempt is made to keep the information up to date, there is always going to be a lag in updating information. The reader is encouraged to read this in conjunction with appropriate ESC Guidelines. The material on this page is for educational purposes and is not for use as a definitive management strategy in the care of patients. Quiz material on the site are only examples and do not guarantee outcomes from formal examinations.


  1. Harb SC, Cremer PC, Wu Y, Xu B, Cho L, Menon V, Jaber WA. Estimated age based on exercise stress testing performance outperforms chronological age in predicting mortality. Eur J Prev Cardiol. 2019 Feb 13:2047487319826400. doi: 10.1177/2047487319826400. Epub ahead of print.
  2. Roever L, Tse G, Biondi-Zoccai G. Walking or cycling to work to prevent myocardial infarction: Hope or hype? Eur J Prev Cardiol. 2020 May;27(8):820-821.
  3. Xie X, Zhao Y, de Bock GH, de Jong PA, Mali WP, Oudkerk M, Vliegenthart R. Validation and prognosis of coronary artery calcium scoring in nontriggered thoracic computed tomography: systematic review and meta-analysis. Circ Cardiovasc Imaging. 2013 Jul;6(4):514-21.