Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

    Disease

    Select...

    Specialty

    Select...

    Chief Complaint

    Select...

    Organ System

    Select...

    Patent Pending

    Log in to create a list of your favorite calculators!

    REVEAL Registry Risk Score for Pulmonary Arterial Hypertension (PAH)

    Predicts survival in patients with pulmonary arterial hypertension.
    Favorite
    When to Use

    Do you use the REVEAL Score for PAH and want to contribute your expertise? Join our contributor team!

    Associated PAH-connective tissue disease
    +1
    Associated PAH-portopulmonary hypertension
    +2
    Familial PAH
    +2
    Other
    0
    No
    0
    Yes
    +1
    No
    0
    Yes
    +2
    I
    -2
    II
    0
    III
    +1
    IV
    +2
    ≥110
    0
    <110
    +1
    ≤92
    0
    >92
    +1
    ≥440 m
    -1
    165-440 m
    0
    <165 m
    +1
    <50
    -2
    50-180
    0
    >180
    +1
    No
    0
    Yes
    +1
    ≥80%
    -1
    33-79%
    0
    ≤32%
    +1
    No
    0
    Yes
    +1
    No
    0
    Yes
    +2

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights

    Advice

    Do you use the REVEAL Score for PAH and want to contribute your expertise? Join our contributor team!

    Formula

    Addition of the selected points + 6:

    Variable

    Points

    WHO group 1 subgroup

    Associated PAH-connective tissue disease

    1

    Associated PAH-portopulmonary hypertension

    2

    Familial PAH

    2

    Other

    0

    Renal insufficiency

    No

    0

    Yes

    1


    Male age >60 years

    No

    0

    Yes

    2

    NYHA/WHO functional class

    I

    -2

    II

    0

    III

    1

    IV

    2

    Systolic BP, mmHg

    ≥110

    0

    <110

    1

    Heart rate, bpm

    ≤92

    0

    >92

    1

    6-minute walk test

    ≥440 m

    -1

    165-440 m

    0

    <165 m

    1

    BNP*, pg/mL

    <50

    -2

    50-180

    0

    >180

    1

    Pericardial effusion on echocardiogram

    No

    0

    Yes

    1

    DLCO on pulmonary function test

    ≥80%

    -1

    33-79%

    0

    ≤32%

    1

    Mean right atrial pressure >20 mmHg within 1 year on right heart catheterization

    No

    0

    Yes

    1

    Pulmonary vascular resistance >32 Wood units on right heart catheterization

    No

    0

    Yes

    2

    *If N-terminal proBNP is available and BNP is not, listed cut points can be replaced with <300 pg/mL and >1,500 pg/mL.

    Facts & Figures

    Interpretation:

    REVEAL Score

    Risk group

    Predicted 1-year survival

    0-7

    Low

    ≥95%

    8

    Average

    90% to <95%

    9

    Moderate

    85% to <90%

    10-11

    High

    70% to <85%

    ≥12

    Very high

    <70%


    Dr. Raymond L. Benza

    About the Creator

    Raymond L. Benza, MD, is a professor of medicine at Temple University College of Medicine. He is also the James Magovern Chair of Cardiovascular Research and a member of the executive committee of the Allegheny Heart Institute at Allegheny General Hospital. Dr. Benza’s primary research is focused on advanced congestive heart failure, cardiac transplantation, and pulmonary arterial hypertension.

    To view Dr. Raymond L. Benza's publications, visit PubMed

    About the Creator
    Dr. Raymond L. Benza