What's behind the Ratings for heart screening tests?
We rated 10 medical tests that screen for cardiovascular disease. We focused on their effectiveness, benefits, and value for people without symptoms of the disease. The Rating for each screening test can differ depending on a person's age, gender, and overall risk of developing cardiovascular disease.
We chose these 10 because they are commonly available and the evidence for each had been previously reviewed by the U.S. Preventive Services Task Force, an independent group supported by the U.S. Department of Health and Human Services that develops recommendations on preventive health care, including screening tests. For each test, we evaluated five factors, which together gave a potential total score of 100 points.
The panel reviewed the scientific evidence on each test and assigned it a grade, which we then used in our Ratings, as shown below:
| Task Force Grade | What the Grade Means | Points in our Ratings |
|---|---|---|
| A | Screening is strongly recommended. | 50 |
| B | Screening is recommended. | 30 |
| C | Screening is generally not recommended, though it may be appropriate for certain individuals or circumstances. | 20 |
| D | Screening is not recommended. | 0 |
| I | There is insufficient evidence to make a screening recommendation. | 10 |
We assigned up to 10 points if we found substantial additional evidence about a test's effectiveness beyond what was considered by the task force. Because screening tests that received an A grade from the panel already have substantial support, we did not look for additional evidence.
We assigned up to 20 points based on the number of people likely affected by the form of cardiovascular disease potentially detected by the test.
We assigned up to 20 points depending on a test's value, as determined by these three components:
- The cost of the test itself, mainly from HealthcareBlueBook.com (up to 6 points).
- The cost of treating the disease if it's detected, based on a likely treatment plan with lifestyle changes, prescription medication, and in some cases, surgery or other procedures (up to 6 points). Drug-cost estimates came from our Best Buy Drugs reports. Other treatment costs generally came from HealthcareBlueBook.com.
- Cost effectiveness based on independent analyses of the likely improvement in a patient's quality of life from being tested and treated (up to 8 points).
We assigned up to 10 points if we determined that a test offered additional health benefits beyond its cardiovascular ones.
The total score for each test was converted to our Ratings, as shown below.
| Points | Rating | What the Rating means |
|---|---|---|
| 81-100 | The benefits very likely outweigh the risks. | |
| 61-80 | The benefits likely outweigh the risks. | |
| 41-60 | It's uncertain whether the benefits outweigh the risks. | |
| 21-40 | The benefits are unlikely to outweigh the risks. | |
| 0-20 | The benefits are very unlikely to outweigh the risks. |












