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    MAGGIC Risk Calculator for Heart Failure

    Estimates 1- and 3- year mortality in heart failure.
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    INSTRUCTIONS

    Use in adult patients (≥18 years). Use with caution in patients with reduced ejection fraction (not yet externally validated in this population).

    When to Use
    Pearls/Pitfalls
    Why Use

    Adult patients with heart failure and preserved EF.

    • The Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC) Risk Calculator assigns an integer score based on heart failure risk factors to predict mortality at 1 and 3 years.
    • Can be used in heart failure patients with reduced or preserved ejection fraction (EF).
    • Not yet externally validated for patients with reduced EF.
    • Excludes biomarkers known to correlate with mortality, such as B-type natriuretic peptide.

    Heart failure with preserved EF has significant mortality and is rising in incidence. Predictive models to stratify risk for these patients are necessary.

    years
    %
    mm Hg
    kg/m²
    mg/dL
    Class I
    0
    Class II
    +2
    Class III
    +6
    Class IV
    +8
    Female
    0
    Male
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +3
    No
    0
    Yes
    +2
    No
    0
    Yes
    +2
    No
    +3
    Yes
    0
    No
    +1
    Yes
    0

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    Consider individualized choice of pharmacotherapy (e.g. beta blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers) for treatment of heart failure based on score.

    About the Creator
    Dr. Stuart Pocock
    Are you Dr. Stuart Pocock?