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AUB-HAS2 cardiovascular risk index

AUB-HAS2

Sum the six Dakik 2019 AUB-HAS2 1-point elements and return the integer score with low / intermediate / high bands.

LIVE $0.005 USDC GET /api/calc/aub_has2

Markdown: /docs/aub-has2.md · Canonical: https://magentlab.com/docs/aub-has2

Not a medical device. Not a diagnosis, dose, or listing recommendation.

What it computes

Sum the six Dakik 2019 AUB-HAS2 1-point elements and return the integer score with low / intermediate / high bands.

When to use

When an agent needs the published AUB-HAS2 point total for noncardiac surgery and must not invent an operative-clearance decision, an RCRI class, or an ACS treatment.

When not to use

  • Not a medical device. Not an operative clearance, cancellation, or monitoring order.
  • Not RCRI and not ACS treatment. AUB-HAS2 is a noncardiac-surgery 30-day death/MI/stroke index (Dakik 2019 derivation).
  • magent does not take a cardiac history or assay hemoglobin. history_of_heart_disease, angina_or_dyspnea, vascular_surgery, and emergency_surgery are caller-assigned.
  • The paper writes hemoglobin as mg/dl; this tool uses g/dL (or g/L / 10). Provide hemoglobin_g_dl or hemoglobin_g_l, not both. Hemoglobin <12 g/dL scores 1 (12.0 does not).
  • Derivation event rates are published cohort percents by integer score (0 / 0.5 / 2.0 / 5.6 / 15.7), not a patient-level prediction.

Formula

AUB-HAS2 = history_of_heart_disease + angina_or_dyspnea + (age ≥75) + (hemoglobin <12 g/dL) + vascular_surgery + emergency_surgery; each 1; max 6; low 0-1, intermediate 2-3, high >3

Citation

Title
A New Index for Pre-Operative Cardiovascular Evaluation
Authors
Dakik HA, Chehab O, Eldirani M, Sbeity E, Karam C, Abou Hassan O, Msheik A, Kaspar C, Makki M, Tamim H
Source
J Am Coll Cardiol. 2019;73(24):3067-3078
DOI
10.1016/j.jacc.2019.04.023

Worked example

Age 50, hemoglobin 13 g/dL, all flags false

Given: age=50angina_or_dyspnea=falseemergency_surgery=falsehemoglobin_g_dl=13history_of_heart_disease=falsevascular_surgery=false

  1. Age 50 is not ≥75 → 0; hemoglobin 13 g/dL is not <12 → 0; all flags false → 0
  2. Score = 0; risk_band low

Age 80, hemoglobin 11 g/dL, flags false

Given: age=80angina_or_dyspnea=falseemergency_surgery=falsehemoglobin_g_dl=11history_of_heart_disease=falsevascular_surgery=false

  1. Age 80 ≥75 → 1; hemoglobin 11 g/dL <12 → 1; flags false → 0
  2. Score = 2; risk_band intermediate

Age 80, hemoglobin 11 g/dL, heart-disease history and angina or dyspnea

Given: age=80angina_or_dyspnea=trueemergency_surgery=falsehemoglobin_g_dl=11history_of_heart_disease=truevascular_surgery=false

  1. Age ≥75 → 1; hemoglobin <12 → 1; history_of_heart_disease → 1; angina_or_dyspnea → 1
  2. Score = 4; risk_band high

Also searched as

  • AUB-HAS2
  • AUB HAS2
  • American University of Beirut HAS2
  • Dakik cardiovascular risk index
  • HAS2 cardiovascular index
  • preoperative cardiovascular risk index
  • AUB cardiovascular risk index

Try

Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.

/api/calc/aub_has2?age=50&hemoglobin_g_dl=13&history_of_heart_disease=false&angina_or_dyspnea=false&vascular_surgery=false&emergency_surgery=false

Full URL: https://api.magentlab.com/api/calc/aub_has2?age=50&hemoglobin_g_dl=13&history_of_heart_disease=false&angina_or_dyspnea=false&vascular_surgery=false&emergency_surgery=false

Call

Expect HTTP 402 until you retry with PAYMENT-SIGNATURE. Incomplete query params return HTTP 400 before any quote or charge.

curl -i -H "Accept: application/json" "https://api.magentlab.com/api/calc/aub_has2?age=50&hemoglobin_g_dl=13&history_of_heart_disease=false&angina_or_dyspnea=false&vascular_surgery=false&emergency_surgery=false"

Parameters

Name Type Required Description
age integer required Age in years (18-120). Age ≥75 scores 1 (Dakik 2019). 75 scores; 74 does not.
hemoglobin_g_dl number optional Hemoglobin in g/dL (3-22). Provide this or hemoglobin_g_l, not both. Dakik 2019 writes mg/dl; clinical use is g/dL. <12 g/dL scores 1 (11.9 scores; 12.0 does not). magent does not assay hemoglobin.
hemoglobin_g_l number optional Hemoglobin in g/L (30-220). Converted as hemoglobin_g_dl = hemoglobin_g_l / 10. Provide this or hemoglobin_g_dl, not both.
history_of_heart_disease boolean required History of heart disease as assigned by the caller (Dakik 2019). true or false. magent does not take a cardiac history. 1 point if true.
angina_or_dyspnea boolean required Symptoms of angina or dyspnea as assigned by the caller (Dakik 2019). true or false. magent does not take a symptom history. 1 point if true.
vascular_surgery boolean required Vascular surgery as assigned by the caller (Dakik 2019). true or false. 1 point if true.
emergency_surgery boolean required Emergency surgery as assigned by the caller (Dakik 2019). true or false. 1 point if true.

Bulk (POST)

POST the same path with a JSON items array. The first item is the GET unit; each additional item is $0.002. Invalid items return HTTP 400 before settlement.

POST /api/calc/aub_has2 Max 25 unit_amount + extra_item_amount * (n - 1) extra $0.002 PREVIEW

  • 1 to 25 items. Each item uses the same keys as the GET query parameters.
  • POST of 1 item costs the same as GET. Lists longer than 25: chunk into multiple POSTs. Extra items still execute; do not pad dummy rows.
  • The first invalid item fails the whole request (index in the 400 JSON). You are not charged.
  • HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row.
  • Catalog misses (empty matches, found=false) stay paid 200s inside that slot.
  • x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items.

Example request (fixture)

{
  "items": [
    {
      "age": "50",
      "angina_or_dyspnea": "false",
      "emergency_surgery": "false",
      "hemoglobin_g_dl": "13",
      "history_of_heart_disease": "false",
      "vascular_surgery": "false"
    },
    {
      "age": "50",
      "angina_or_dyspnea": "false",
      "emergency_surgery": "false",
      "hemoglobin_g_dl": "13",
      "history_of_heart_disease": "false",
      "vascular_surgery": "false"
    }
  ]
}

Open bulk paywall →

Opens a two-item fixture on the API host. Unpaid browsers get the same MetaMask paywall as GET; Pay retries POST with those items.

Example 200 (fixture)

{
  "count": 2,
  "path": "/api/calc/aub_has2",
  "items": [
    {
      "components": [
        {
          "factor": "history_of_heart_disease",
          "points": 0,
          "present": false
        },
        {
          "factor": "angina_or_dyspnea",
          "points": 0,
          "present": false
        },
        {
          "value": 50,
          "factor": "age_ge_75",
          "points": 0,
          "present": false
        },
        {
          "value": 13.0,
          "factor": "hemoglobin_lt_12",
          "points": 0,
          "present": false
        },
        {
          "factor": "vascular_surgery",
          "points": 0,
          "present": false
        },
        {
          "factor": "emergency_surgery",
          "points": 0,
          "present": false
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "citation": {
        "authors": "Dakik HA, Chehab O, Eldirani M, Sbeity E, Karam C, Abou Hassan O, Msheik A, Kaspar C, Makki M, Tamim H",
        "doi": "10.1016/j.jacc.2019.04.023",
        "id": "dakik-2019",
        "pmid": "31221255",
        "source": "J Am Coll Cardiol. 2019;73(24):3067-3078",
        "title": "A New Index for Pre-Operative Cardiovascular Evaluation"
      },
      "formula": "aub_has2",
      "formula_expression": "AUB-HAS2 = history_of_heart_disease + angina_or_dyspnea + (age ≥75) + (hemoglobin <12 g/dL) + vascular_surgery + emergency_surgery; each 1; max 6; low 0-1, intermediate 2-3, high >3",
      "age_years": 50,
      "max_score": 6,
      "score": 0,
      "risk_band": "low",
      "emergency_surgery": false,
      "angina_or_dyspnea": false,
      "derivation_event_rate_percent": 0.0,
      "hemoglobin_g_dl": 13.0,
      "history_of_heart_disease": false,
      "vascular_surgery": false
    },
    {
      "components": [
        {
          "factor": "history_of_heart_disease",
          "points": 0,
          "present": false
        },
        {
          "factor": "angina_or_dyspnea",
          "points": 0,
          "present": false
        },
        {
          "value": 50,
          "factor": "age_ge_75",
          "points": 0,
          "present": false
        },
        {
          "value": 13.0,
          "factor": "hemoglobin_lt_12",
          "points": 0,
          "present": false
        },
        {
          "factor": "vascular_surgery",
          "points": 0,
          "present": false
        },
        {
          "factor": "emergency_surgery",
          "points": 0,
          "present": false
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "citation": {
        "authors": "Dakik HA, Chehab O, Eldirani M, Sbeity E, Karam C, Abou Hassan O, Msheik A, Kaspar C, Makki M, Tamim H",
        "doi": "10.1016/j.jacc.2019.04.023",
        "id": "dakik-2019",
        "pmid": "31221255",
        "source": "J Am Coll Cardiol. 2019;73(24):3067-3078",
        "title": "A New Index for Pre-Operative Cardiovascular Evaluation"
      },
      "formula": "aub_has2",
      "formula_expression": "AUB-HAS2 = history_of_heart_disease + angina_or_dyspnea + (age ≥75) + (hemoglobin <12 g/dL) + vascular_surgery + emergency_surgery; each 1; max 6; low 0-1, intermediate 2-3, high >3",
      "age_years": 50,
      "max_score": 6,
      "score": 0,
      "risk_band": "low",
      "emergency_surgery": false,
      "angina_or_dyspnea": false,
      "derivation_event_rate_percent": 0.0,
      "hemoglobin_g_dl": 13.0,
      "history_of_heart_disease": false,
      "vascular_surgery": false
    }
  ]
}

Response

Field Type Description
formula string aub_has2
formula_expression string Exact expression used
score integer AUB-HAS2 points 0-6
max_score integer Always 6
risk_band string low (0-1), intermediate (2-3), or high (>3 / 4-6)
derivation_event_rate_percent number Dakik 2019 derivation 30-day death/MI/stroke percent by integer score: 0, 0.5, 2.0, 5.6, or 15.7 (>3)
age_years integer Age used (years)
hemoglobin_g_dl number Hemoglobin used in g/dL (g/L inputs converted as g/dL = g/L / 10)
history_of_heart_disease boolean Caller-assigned history-of-heart-disease flag used
angina_or_dyspnea boolean Caller-assigned angina-or-dyspnea flag used
vascular_surgery boolean Caller-assigned vascular-surgery flag used
emergency_surgery boolean Caller-assigned emergency-surgery flag used
components array Per-element points
citation object Dakik 2019 JACC citation
disclaimer string Not-a-device notice

Example JSON

Machine form of the same example. Frozen fixture. Not a live lookup.

{
  "components": [
    {
      "factor": "history_of_heart_disease",
      "points": 0,
      "present": false
    },
    {
      "factor": "angina_or_dyspnea",
      "points": 0,
      "present": false
    },
    {
      "value": 50,
      "factor": "age_ge_75",
      "points": 0,
      "present": false
    },
    {
      "value": 13.0,
      "factor": "hemoglobin_lt_12",
      "points": 0,
      "present": false
    },
    {
      "factor": "vascular_surgery",
      "points": 0,
      "present": false
    },
    {
      "factor": "emergency_surgery",
      "points": 0,
      "present": false
    }
  ],
  "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
  "citation": {
    "authors": "Dakik HA, Chehab O, Eldirani M, Sbeity E, Karam C, Abou Hassan O, Msheik A, Kaspar C, Makki M, Tamim H",
    "doi": "10.1016/j.jacc.2019.04.023",
    "id": "dakik-2019",
    "pmid": "31221255",
    "source": "J Am Coll Cardiol. 2019;73(24):3067-3078",
    "title": "A New Index for Pre-Operative Cardiovascular Evaluation"
  },
  "formula": "aub_has2",
  "formula_expression": "AUB-HAS2 = history_of_heart_disease + angina_or_dyspnea + (age ≥75) + (hemoglobin <12 g/dL) + vascular_surgery + emergency_surgery; each 1; max 6; low 0-1, intermediate 2-3, high >3",
  "age_years": 50,
  "max_score": 6,
  "score": 0,
  "risk_band": "low",
  "emergency_surgery": false,
  "angina_or_dyspnea": false,
  "derivation_event_rate_percent": 0.0,
  "hemoglobin_g_dl": 13.0,
  "history_of_heart_disease": false,
  "vascular_surgery": false
}

Client errors (HTTP 400)

Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.

HTTP Code When
400 invalid_age age must be an integer from 18 to 120 Returned before settlement; you are not charged.
400 invalid_hemoglobin hemoglobin_g_l (30-220) or hemoglobin_g_dl (3-22) is required, not both. Returned before settlement; you are not charged.
400 invalid_flag boolean clinical flags must be true or false Returned before settlement; you are not charged.
400 invalid_items POST body must be a JSON object with only an items array Returned before settlement; you are not charged.
400 invalid_item_count items must be an array of 1 to 25 objects Returned before settlement; you are not charged.
400 invalid_item each items entry must be a JSON object Returned before settlement; you are not charged.

Related tools

  • RCRI — Sum the six Lee 1999 revised cardiac risk index factors and return class I–IV.

Payment

Unpaid requests return HTTP 402 even if query parameters or POST items are missing or invalid, so CDP and agents can index the path. After a PAYMENT-SIGNATURE, invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s. Unpaid valid requests return HTTP 402 with a base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote: retry the same PAYMENT-SIGNATURE. Full handshake and shared payment errors: Payments. Stdio MCP: /docs/mcp.

Guarantees

  • HTTP 402 is unpaid, including a missing query. After PAYMENT-SIGNATURE, invalid parameters return HTTP 400 before settlement. You are not charged. HTTP 402 never includes the tool JSON.
  • exact: settlement finishes before the tool (paymentFlow upfront). batch-settlement: verify/deposit before the tool; chargedCumulativeAmount commits after HTTP 2xx. Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE.
  • HTTP 402 is unpaid only. Do not sign a second authorization because of a 503.
  • Execution is timeout-bounded and concurrency-capped.
  • Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.