Supplementary data Patients: Between October 2010 and September 2011, a total of 175 consecutive patients with suspected or known coronary artery disease were included in a validation data set. During a median follow-up period of 25 months (interquartile range, 19 to 30 months), coronary events were observed in 18 out of the 175 patients. 1 Supplementary Table 1. Comparison of the Clinical Profile of Patients with or without Coronary Events in the Validation Data Set Coronary event No coronary event p value (n = 18) (n = 157) Age, yrs 67 ± 8 64 ± 10 0.312 Male 17 (94.4%) 124 (78.9%) 0.076 Hypertension 17 (94.4%) 88 (56.1%) 0.002 Current smoker 5 (27.8%) 48 (30.6%) 0.806 Hyperlipidemia 12 (66.7%) 93 (59.2%) 0.538 Diabetes mellitus 8 (44.4%) 55 (35.0%) 0.436 BMI, kg/m2 24 ± 4 24 ± 3 0.790 SBP, mmHg 137 ± 22 134 ± 20 0.515 T-chol, mg/dl 206 ± 35 199 ± 36 0.362 LDL, mg /dl 122 ± 30 116 ± 31 0.289 HDL, mg/dl 47 ± 11 56 ± 16 0.017 TG, mg/dl 157 (114, 218) 109 (80, 153) 0.007 HbA1c, % 6.3 ± 1.4 5.8 ± 1.03 0.023 PMR 1.47 (1.38, 2.01) 1.14 (1.01, 1.31) <0.001 Proven CAD 14 (77.8%) 42 (26.8%) <0.001 Multivessel disease 5 (27.8%) 13 (8.28%) 0.025 Previous MI 5 (27.8%) 12 (7.69%) 0.019 Aspirin 12 (66.7%) 35 (22.3%) <0.001 Beta-blocker 5 (27.8%) 8 (5.1%) 0.004 Medications 2 Statin 12 (66.7%) 59 (37.6%) 0.018 ACEI or ARB 10 (55.6%) 44 (28.0%) 0.021 Values are means ± SD, n (%), or medians (first quartile, third quartile). Abbreviations as in Table 1. 3 Supplementary Table 2. Univariate Cox Regression Analysis of Risk Factors for All Coronary Events in the Validation Data Set Univariate Analysis Hazard p value 95% CI Ratio Age, yrs 1.03 0.005 1.01 – 1.04 Male 0.95 0.802 0.65 – 1.39 Hypertension 1.43 0.024 1.05 – 1.96 Current smoker 0.95 0.780 0.68 – 1.34 Hyperlipidemia 1.01 0.935 0.74 – 1.39 Diabetes mellitus 1.71 0.002 1.23 – 2.39 BMI, kg/m2 1.03 0.233 0.98 – 1.09 SBP, mmHg 1.01 0.080 1.00 – 1.01 T-chol, mg/dl 0.99 0.006 0.99 – 1.00 LDL, mg /dl 0.99 0.012 0.99 – 1.00 HDL, mg/dl 0.99 0.060 0.98 – 1.00 TG, mg/dl 1.00 0.435 1.00 – 1.00 HbA1C, % 1.27 0.002 1.09 – 1.48 PMR 3.95 <0.001 2.32 – 6.72 PMR ≥ 1.4 2.68 <0.001 1.77 – 4.07 Proven CAD 2.44 <0.001 1.71 – 3.50 Multivessel CAD 3.61 <0.001 2.09 – 6.24 Previous MI 3.42 <0.001 1.87 – 6.26 Medications – 4 Aspirin 2.65 <0.001 1.81 – 3.88 Beta-blocker 1.61 0.167 0.82 – 3.18 Statin 1.16 0.354 0.84 – 1.61 ACEI or ARB 1.18 0.349 0.84 – 1.65 CI, confidence interval. Abbreviations as in Table 1. 5 Supplementary Table 3. Risk Factors in the Best Predictive Model for All Coronary Events in the Validation Data Set Selected by Stepwise Cox Regression Analysis Multivariate Analysis Hazard Ratio p value 95% CI Age 1.02 0.031 1.00 – 1.04 HbA1c 1.21 0.058 0.99 – 1.48 Proven CAD 1.75 0.016 1.11 – 2.78 Multivessel CAD 2.09 0.035 1.05 – 4.15 LDL 0.99 0.048 0.99 – 1.00 PMR ≥ 1.4 2.61 <0.001 1.63 – 4.18 Abbreviations as in Tables 1 and 2. 6