Comparison of cardiovascular risk assessment tools and their guidelines in evaluation of 10-year CVD risk and preventive recommendations: A population based study

Motamed, Nima; Rabiee, Behnam; Perumal, Dhaya; Poustchi, Hossein; Miresmail, Seyed Javad Haji; Farahani, Behzad; Maadi, Mansooreh; Saeedian, Fatemeh Sima; Ajdarkosh, Hossein; Khonsari, Mahmood Reza; Hemasi, Gholam Reza; Zamani, Farhad

doi:10.1016/j.ijcard.2016.11.048

Cited by 24 publications

(25 citation statements)

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“…Consistent with our findings, the average CVD risk estimation was the highest using FRAM and the lowest using WHO in the Indian population [18]. Conversely, PCRE showed the highest CVD risk, followed by FRAM, and SCORE estimated the lowest risk in Northern Iran [19]. Like CVD risk estimation, the probability of assigning participants to the high-risk category for CVD also varied significantly between risk assessment tools in our study.…”

Section: Discussionsupporting

confidence: 88%

Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population

et al. 2020

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Introduction Evidence regarding the performance of cardiovascular disease (CVD) risk assessment tools is limited in the United Arab Emirates (UAE). Therefore, we assessed the agreement between various externally validated CVD risk assessment tools in the UAE. Methods A secondary analysis of the Abu Dhabi Screening Program for Cardiovascular Risk Markers (AD-SALAMA) data, a large population-based cross-sectional survey conducted in Abu Dhabi, UAE during the period 2009 until 2015, was performed in July 2019. The analysis included 2,621 participants without type 2 Diabetes and without history of cardiovascular diseases. The CVD risk assessment tools included in the analysis were the World Health Organization for Middle East and North Africa Region (WHO-MENA), the systematic coronary risk evaluation for high risk countries (SCORE-H), the pooled cohort risk equations for white (PCRE-W) and African Americans (PCRE-AA), the national cholesterol education program Framingham risk score (FRAM-ATP), and the laboratory Framingham risk score (FRAM-LAB). Results The overall concordance coefficient was 0.50. The agreement between SCORE-H and PCRE-W, PCRE-AA, FRAM-LAB, FRAM-ATP and WHO-MENA, were 0.47, 0.39, 0.0.25, 0.42 and 0.18, respectively. PCRE-AA classified the highest proportion of participants into high-risk category of CVD (16.4%), followed by PCRE-W (13.6%), FRAM-LAB (6.9%), SCORE-H (4.5%), FRAM-ATP (2.7%), and WHO-MENA (0.4%).

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Section: Discussionsupporting

confidence: 88%

Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population

et al. 2020

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“…In our study, the risk of CVD in women was considerably higher than in many studies (11,13,14,22,26,27). Only one American study had a similar prevalence of high CVD risk as our study: prevalence of CVD risk > 20% was 15.0% (24) while ours was 14.9%.…”

Section: Discussionsupporting

confidence: 63%

“…A few studies have investigated the risk of CVD in the Islamic Republic of Iran (7,(11)(12)(13)(14)(15)(16)(17), but the results have varied because of differences in the objectives and methods; therefore, it is difficult to draw conclusions about the risk of CVD in the country. The aim of our study was to evaluate the risk of CVD in a population-based study using the Framingham risk score and to identify factors associated with CVD risk in Shahroud, Islamic Republic of Iran.…”

Section: Introductionmentioning

confidence: 99%

Predicted 10-year risk of cardiovascular disease in the Islamic Republic of Iran and the body mass index paradox

Emamian¹,

Hashemi²,

Fotouhi³

2020

East Mediterr Health J.

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Background: Assessment of the risk of cardiovascular disease is essential for disease prevention in every region. Aims: This study aimed to investigate the 10-year risk of cardiovascular disease and its determinants in an adult population in Shahroud, Islamic Republic of Iran. Methods: A total of 4737 people aged 45-69 years were evaluated. The 10-year risk of cardiovascular disease was calculated using the Framingham risk scoring method. Cardiovascular disease risk is reported as per cent risk and 95% confidence intervals (CI). Factors affecting the risk of cardiovascular disease were assessed using multiple beta regression analysis. Results: The mean age of the participants was 55.9 years; 41% were males. The mean 10-year risk of developing cardiovascular disease was 16.4% (95% CI: 16.0-16.8%); 28.3% of the participants had a risk of more than 20% (47.8% of the men and 14.9% of the women). Age, diabetes, smoking (only in men), high blood pressure, triglycerides (only in women), waist circumference, total cholesterol and high-density lipoprotein cholesterol were significantly associated with cardiovascular disease risk. In men, there was a non-significant increase in risk with higher body mass index up to body mass index 39.9 kg/m 2 ; however, the risk 1 / 11 WHO EMRO | Predicted 10-year risk of cardiovascular disease in Shahroud, Islamic Republic of Iran and decreased by 4.4% at body mass index ≥ 40 kg/m 2 (P = 0.18). Conclusions: The cardiovascular disease risk was very high, especially in men. Effective interventions should be implemented to reduce risk factors for cardiovascular disease. Longitudinal studies are recommended to investigate the effect of body mass index on the risk of cardiovascular disease.

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“…Higher risks were measured in the FRS and ACC/AHA instruments (61.7% and 69.8%, respectively) compared to the WHO score [7]. In Northern Iran, the ACC/AHA score was the highest (12.96% in men and 5.87% in women) compared to lower rates for the SCORE and FRS [8]. A third study compared three risk estimators (ACC/AHA, FRS and WHO) to identify a guide for the initiation of statin therapy for the primary prevention of CVD.…”

Section: Discussionmentioning

confidence: 90%

A Comparison of Four Cardiovascular Risk Assessment Instruments in Saudi Patients

Hasabullah¹,

Kahtani²,

Balkhoyor³

et al. 2020

Cureus

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Introduction Several cardiovascular risk calculators are available online to measure the probability of developing cardiovascular disease (CVD) without defining the appropriate population. In the current study, four risk assessment instruments were investigated with Saudi Arabian patients with CVD to identify the instrument with the best predictability. The chosen instruments were the Framingham Risk Score (FRS), Systematic Coronary Risk Evaluation (SCORE), American College of Cardiology/American Heart Association (ACC/AHA) Atherosclerotic Cardiovascular Disease Risk Estimator, and the United Kingdom score which is called QRISK ®. Methods Saudi patients, 40 years and older, with acute coronary syndrome, were recruited. Data related to age, gender, ethnicity, height, weight, systolic blood pressure, total cholesterol, high-density lipoprotein (HDL), smoking status, diabetes mellitus, rheumatoid arthritis, chronic kidney disease, atrial fibrillation, heart attack in a first-degree relative, and use of antihypertensive treatment were recorded. Results Out of 129 patients, the ACC/AHA had higher predictability with low risk (26.3%) and high risk (66.7%) groups. The QRISK ® was highly applicable (95.3%); however, the SCORE was not considered applicable (22.5%). Conclusion The QRISK ® is easy to implement and applicable in a population-based study, but the ACC/AHA is superior in predicting individuals with a high risk of CVD.

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Comparison of cardiovascular risk assessment tools and their guidelines in evaluation of 10-year CVD risk and preventive recommendations: A population based study

Cited by 24 publications

References 13 publications

Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population

Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population

Predicted 10-year risk of cardiovascular disease in the Islamic Republic of Iran and the body mass index paradox

A Comparison of Four Cardiovascular Risk Assessment Instruments in Saudi Patients

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