Two dimensionless cardiac indices in Prof Ghista's tradition · screening risk (CRI) + functional-reserve NDI (CFRI) · grounded in the Nondimensional Physiological Index
Patient list — CFRI escalation
Cardiac Advisor — Prof Ghista presents the patient's heart
What the CRAS bands mean — a cardiac-disease scaleWell full functional reserve · At-risk emerging risk · High-risk declining reserve · Established established coronary disease. This grades cardiac disease severity (from the CFRI/CRI). It is not the same scale as MDAS — there, Ω grades whole-body survival prognosis (Well → Managed → Deteriorating → Beyond reach = terminal/palliative). “Established” means the heart disease is confirmed but often treatable; “Beyond reach” means beyond saving — deliberately different terms for deliberately different things.
Professor Ghista presides as the advisor; the heart is the selected patient's, paced and coloured by his CFRI. The index advises — a clinician decides. Illustrative cohort, not for clinical use.
1 · Patient panel
Select a patient to load their last-visit panel, or move any slider for a what-if.
55
120
190
24
Functional / exercise panel (drives the CFRI reserve NDI)
Ghista reserve index (chronotropic + ischaemic + anginal)
WellAt-riskHigh-riskEstablished CVD
—Cardiac health score (100 = optimal)
—SVM screening risk of CVD (the primary risk rank)
CFRI decomposition (nondimensional Π-groups):
Chronotropic reserve Π₁ = HRach/(220−age) = —
Ischaemic ST-strain Π₂ = oldpeak/4mm = —
Anginal-threshold Π₃ = —
Select or adjust a panel to compute the indices.
How to read this.CRI screens whole-population cardiac risk from routinely-collected factors (BP, cholesterol, BMI, glycaemia, smoking, age). CFRI is the true nondimensional functional-reserve index — computed only when the exercise panel is present — and it tracks angiographic severity (Spearman ρ=0.56). Where they disagree, CFRI reflects demonstrated cardiac dysfunction; CRI reflects background risk.
CRI & CFRI derived per AEGIS-P14-CRAS-NDI-001 (nondimensionalisation in Ghista's tradition). Learned layer: one distilled SVM risk classifier (CV-AUC 0.748; deployed browser surrogate monotone-constrained, 0.738). Severity is read from the CFRI index itself, not a separate model. Improves via governed retraining, not silent self-adaptation. Illustrative cohort — not for clinical use.
Cardiac watchlist — patients ranked by SVM screening risk
Generate PDF — the branded watchlist export is access-gated. Enter code:
SVM risk ▾
Ω
Patient
Age
Sex
CRI
CFRI
Health
Band
Care routing
Population & cost — cardiac resource planning
🌐 GLOBAL COVERAGE — anchored to real health-system spend of 24 countries (WHO / World Bank, SGD). CRAS routes cardiac-attention patients; the Ω-band cost, focus list and avoidable spend re-compute in your economy, and referrals route back into DRAS/RRAS/PRAS and the MDAS cardiac axis.
—Annual cardiac spend at Ω-band intensity
—Patients needing active attention
—High-risk focus list
—Avoidable spend (40% of focus)
—Case-manager load (÷200)
Referral routing from the focus list → —
The system flags the at-risk heart. A cardiologist makes every call. CRAS surfaces the CRI, the CFRI functional-reserve NDI and its confidence, and hands the judgement to a human — augmenting the clinician, never replacing them.
AEGIS · Human-AI Augmenting Systems (Singapore) · CRAS Project 14 · governed by AEGIS-GRAND-MASTER-000 · currency S$ (SGD) · in tribute to Prof. Dhanjoo N. Ghista.