Cardiovascular risk algorithms in primary care: Results from the DETECT study

Grammer, Tanja B.; Dressel, Alexander; Gergei, Ingrid; Kleber, Marcus E.; Laufs, Ulrich; Scharnagl, Hubert; Nixdorff, Uwe; Pieper, Lars; Pittrow, David; Silber, Sigmund; Wittchen, Hans‐Ulrich; März, Winfried

doi:10.1038/s41598-018-37092-7

Cited by 20 publications

(19 citation statements)

References 46 publications

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“…2) (10,21). Even the mHealth gures for which no laboratory tests were done had a proportional level close to that of ASCVD, which has a high sensitivity for identifying future CVD occurrence of around 80%, with a fairly high speci city (69%) and a positive predictive value (17%) (23). These ndings indicate that at least the mHealth application can be used easily by community members to provide CVD risk predictions.…”

Section: 2mentioning

confidence: 94%

Key Potentials of mHealth for Community-Based Early Detection of Cardiovascular Disease During the COVID-19 Pandemic

Siregar

Kurniawan

BaharuddinNur

et al. 2021

Preprint

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Background The epidemiological transition from infectious to non-communicable disease (NCD) is characterized by an increasing incidence of cardiovascular disease (CVD). The Coronavirus Disease 2019 (COVID-19) pandemic has led to a significant decline in NCD screening and treatment activities in health centers. This study aims to revive and expand the coverage of NCD control programs, from the elderly to productive age groups, through the use of mHealth for the early detection of CVD, which is also provides health promotion media that is easily accessible. Methods This research is an operational study to develop a community-based early detection mechanism for CVD using mHealth during the COVID-19 pandemic in the Babakan Madang sub-district, Bogor district. Results The use of the mHealth application supported by community participation is proven to be able to reach the productive age population significantly (87.1%) in the Babakan Madang sub-district. The mHealth application simplifies CVD risk predictions so that it can be used by the public during the COVID-19 pandemic. Conclusion This application is also very well accepted by the community and is able to provide personalized health promotions.

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Section: 2mentioning

confidence: 94%

Key Potentials of mHealth for Community-Based Early Detection of Cardiovascular Disease During the COVID-19 Pandemic

Siregar

Kurniawan

BaharuddinNur

et al. 2021

Preprint

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“…The threshold at which an intervention should be introduced to prevent CVD as proposed by the WHO differs between countries. 4,47,48 Using numerous risk scores, including FRS for CVD, and comparing…”

Section: Outcome Variablesmentioning

confidence: 99%

“…different thresholds (5%, 10%, and 20%), a previous study showed that at the 10% threshold, the FRS has higher sensitivity and specificity. 47 The most recent WHO guidelines include lifestyle change strategies and a 3 to 6 month follow-up for the population with an absolute CVD risk ≥10%. 49…”

mentioning

confidence: 99%

Geographic and Sociodemographic Disparities in Cardiovascular Risk in Burkina Faso: Findings from a Nationwide Cross-Sectional Survey

Cissé¹,

Samadoulougou²,

Ouédraogo³

et al. 2021

RMHP

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Background: Cardiovascular disease (CVD) risk assessment is a critical step in the current approach to the primary prevention of CVD, particularly in low-income countries such as Burkina Faso. In this study, we aimed to assess the geographic and sociodemographic disparities of the ten-year cardiovascular risk in Burkina Faso. Methods: We conducted a secondary analysis of the data from the first nationwide survey using the World Health Organization (WHO) STEPwise approach. Ten-year cardiovascular risk was determined using the WHO 2019 updated risk chart (WHO risk) as main outcome, and the Framingham risk score (FRS) and the Globorisk chart for secondary outcomes. We performed a modified Poisson regression model using a generalized estimating equation to examine the association between CVD risk and sociodemographic characteristics. Results: A total of 3081 participants aged 30 to 64 years were included in this analysis. The overall age and sex-standardized mean of absolute ten-year cardiovascular risk assessed using the WHO risk chart was 2.5% (95% CI: 2.4-2.6), ranging from 2.3% (95% CI: 2.2-2.4) in Centre Est to 3.0% (95% CI: 2.8-3.2) in the Centre region. It was 4.6% (95% CI: 4.4-4.8) for FRS and 4.0% (95% CI: 3.8-4.1) for Globorisk. Regarding categorized CVD risk (absolute risk ≥10%), we found out that the age and sex-standardized prevalence of elevated risk was 1.7% (95% CI: 1.3-2.1) for WHO risk, 10.4% (95% CI: 9.6-11.2) for FRS, and 5.9% (95% CI: 5.1-6.6) for Globorisk. For all of the three risk scores, elevated CVD risk was associated with increasing age, men, higher education, urban residence, and health region (Centre). Conclusion:We found sociodemographic and geographic inequalities in the ten-year CVD risk in Burkina Faso regardless of risk score used. Therefore, population-wide interventions are needed to improve detection and management of adult in the higher CVD risk groups in Burkina Faso.

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“…Reliable formulas (algorithms) for non-invasive estimation of V02max (maximal oxygen uptake) are available if a stress testing unit is not available. Depending on the severity and the potential risk of the disease [50], a cardiac ultrasound examination is recommended before the commencement of training.…”

Section: Pre-participation Evaluation and Risk Evaluationmentioning

confidence: 99%

Physical Activity, Exercise Prescription for Health and Home-Based Rehabilitation

Loellgen¹,

Zupet

Bachl

et al. 2020

Sustainability

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The aim of this overview was to recommend individual training plans using exercise prescriptions for adults and older adults during home-based rehabilitation. Over the last decade, many regular physical activity studies with large prospective cohorts have been conducted. Taken together, more than a million subjects have been included in these exercise studies. The risk of morbidity and mortality has been reduced by 30% to 40% as a result of exercise. These risk reductions hold true for many diseases, as well as for prevention and rehabilitation. Physical activity has also been in the treatment of many diseases, such as cardiopulmonary, metabolic or neurologic/psychiatric diseases, all with positive results. Based on these results, the prescription of exercise was developed and is now known as the exercise prescription for health in many European countries. Details have been published by the European Federation of Sports Medicine Associations (EFSMA). The exercise prescription is strongly recommended for inpatients, discharged patients and outpatients who have recovered from severe diseases. Rehabilitation improves general health, physical fitness, quality of life and may increase longevity of life.

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Cardiovascular risk algorithms in primary care: Results from the DETECT study

Cited by 20 publications

References 46 publications

Key Potentials of mHealth for Community-Based Early Detection of Cardiovascular Disease During the COVID-19 Pandemic

Key Potentials of mHealth for Community-Based Early Detection of Cardiovascular Disease During the COVID-19 Pandemic

Geographic and Sociodemographic Disparities in Cardiovascular Risk in Burkina Faso: Findings from a Nationwide Cross-Sectional Survey

Physical Activity, Exercise Prescription for Health and Home-Based Rehabilitation

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