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. 2022 Feb 23;43(18):1702–1711. doi: 10.1093/eurheartj/ehac093

Table 2.

Net reclassification improvement after adding metaPRS to clinical risk score

Clinical risk score MetaPRS + clinical risk score
<4.5% ≥4.5% Total
CAD
 <4.5% 405 65 470
 ≥4.5% 36 334 370
 Totals 441 399 840
Non-CAD
 <4.5% 28 154 870 29 024
 ≥4.5% 866 2969 3835
 Totals 29 020 3839 32 859
Net reclassification improvement (NRI)
 NRI for CAD (95% CI), % 3.2 (0.9–5.8)
 NRI for Non-CAD (95% CI), % 0.3 (0.1–0.5)
 NRI (95% CI), % 3.5 (1.2–6.0)
 Continuous NRI for CAD (95% CI), % 15.7 (7.7–22.2)
 Continuous NRI for Non-CAD (95% CI), % 10.1 (9.1–11.1)
 Continuous NRI, % 25.8 (18.5–32.5)

NRI, net reclassification improvement; CAD, coronary artery disease; CI, confidence interval; PRS, polygenic risk score.

The clinical risk score of CAD was obtained from the recalibrated 10-year China-PAR model. The risk of 4.5% for 10-year CAD risk is equivalent to the ASCVD risk of 10%.