Estimating Cardiovascular Risk in Spain Using Different Algorithms

Comín, E.; Solanas, Pascual; Cabezas, Carmen; Subirana, Isaac; Ramos, Rafael; Badía, Joan Gené; Cordón, Ferrán; Grau, María; Vila, Juan J.; Marrugat, Jaume

doi:10.1016/s1885-5857(08)60004-3

Cited by 13 publications

(14 citation statements)

References 30 publications

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“…In these studies, the estimates of the CHD risk derived from the Framingham functions were comparatively higher. Similar findings have been reported by several authors when Framingham functions were used even in European populations [27,30,40].…”

Section: Papersupporting

confidence: 91%

“…In our study, risk estimates with the three equations were different, similar to the findings from previous studies using different risk algorithms [6,[27][28][29]. The high risk group was largest (25.4%) when risk estimation was done with NCEP-ATP III criteria, and smallest (8.2%) when the risk was estimated using WHO/ISH criteria.…”

Section: Papersupporting

confidence: 84%

“…[13][14][15][16][17][18][19][20][21][22][23]. The risk prediction tools to calculate the absolute CVD risk have been developed, and used, mainly in the developed world [13, [24][25][26][27][28][29][30][31].…”

Section: Introductionmentioning

confidence: 99%

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Risk estimates of cardiovascular diseases in a Sri Lankan community

et al. 2016

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Objectives Quantifying the risk of cardiovascular disease (CVD) in a community is important in planning preventive strategies, but such data are limited from developing countries, especially South Asia. We aimed to estimate the risks of coronary heart disease (CHD), total CVD, and CVD mortality in a Sri Lankan community.Methods A community survey was conducted in an urban health administrative area among individuals aged 35-64 years, selected by stratified random sampling. Their 10-year CHD, total CVD, and CVD mortality risks were estimated using three risk prediction tools: National Cholesterol Education Program -Adult Treatment Panel III (NCEP-ATP III), Systematic Coronary Risk Evaluation (SCORE), and World Health Organisation/ International Society of Hypertension (WHO/ISH) charts.Results Among study participants (n=2985), 54.5% were females, and mean age (SD) was 52.4 (7.8) years. According to NCEP-ATP III ('hard' CHD risk), WHO/ISH (total CVD risk), and SCORE (CVD mortality risk) criteria, 25.4% (95% CI 23.6-27.2), 8.2% (95% CI 7.3-9.2), and 11.8 (95% CI 10.5-13.1) respectively were classified as at 'high risk'. The proportion of high risk participants increased with age. 'High risk' was commoner among males (30.3% vs 20.6%, p<0.001) according to NCEP-ATP III criteria, but among females (9.7% vs. 6.7%, p<0.001) according to WHO/ISH criteria. No significant gender difference was noted in SCORE risk categories.Conclusions A large proportion of individuals in this community are at risk of developing cardiovascular diseases, especially in older age groups. Risk estimates varied with the different prediction tools, and were comparatively higher with NCEP-ATP III charts.

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Section: Papersupporting

confidence: 91%

Section: Papersupporting

confidence: 84%

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Risk estimates of cardiovascular diseases in a Sri Lankan community

et al. 2016

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“…Por ello, diferentes grupos han lanzado fórmulas corregidas que pretenden la calibración de la ecuación de Framingham (37). Esta calibración consiste en la sustitución del elemento de comparación promedio del IF por uno local (38). En este estudio se optó por el IF no calibrado por ser considerado uno de los más importantes hitos epidemiológicos y de salud pública de la historia moderna de la medicina.…”

Section: Discussionunclassified

“…Por este motivo, no descartamos que en futuros scores se puedan incluir factores que son característicos en la población mundial actual y que no se describen en la cohorte Framingham, tales como: el sedentarismo, la alta ingesta de alimentos procesados ricos en carbohidratos de digestión rápida, ingesta de niveles elevados de grasas saturadas, los antecedentes familiares de ECV, la obesidad traducida como adiposidad, etc. (37,38).…”

Section: Discussionunclassified

Valoración del riesgo cardiovascular después de gastrectomía vertical: comparativa del IMC, la adiposidad, el índice de Framingham y el índice aterogénico como marcadores del éxito de la cirugía

et al. 2016

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Valoración del riesgo cardiovascular después de gastrectomía vertical: comparativa del IMC, la adiposidad, el índice de Framingham y el índice aterogénico como marcadores del éxito de la cirugía . At the same time, the Framingham was 3.7% and Atherogenic Index: 1.64. Analyzing these data, after 12 months from surgery, the mean of BMI is in range of overweight, the adiposity is classifi ed as obesity (> 25% in men and > 35% in women), the Framingham range describes a low cardiovascular risk (< 5%) and the Atherogenic Index is located in the normal range (< 3). Correlating these parameters we observed that BMI is correlated with adiposity at preoperative values (Pearson 0.486; p = 0.004), postoperative (Pearson 0.957; p < 0.001), and the difference between them (Pearson 0.606; p = 0.017). This is logical, because the BMI is included in the formula for calculating the adiposity (by CUNBAE formula.) In the postoperative values correlated the adiposity with Framingham value (Pearson 0.814, p = 0.036) and with the atherogenic risk (p = 0.049, 0.517 Pearson.) In preoperative values, these correlations are not objectifi ed. BMI was not correlated with adiposity. Conclusion: The adiposity correlates better with cardiovascular risk indices, such as the Framingham Index or the Atherogenic Index, but only in the postoperative values. These elements represent useful tools for assessing the decreased risk of cardiovascular disease after bariatric surgery.

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Estatinas y diabetes

Tuero¹,

Rodríguez‐Poncelas²

2010

Hipertensión y Riesgo Vascular

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Estimating Cardiovascular Risk in Spain Using Different Algorithms

Cited by 13 publications

References 30 publications

Risk estimates of cardiovascular diseases in a Sri Lankan community

Risk estimates of cardiovascular diseases in a Sri Lankan community

Valoración del riesgo cardiovascular después de gastrectomía vertical: comparativa del IMC, la adiposidad, el índice de Framingham y el índice aterogénico como marcadores del éxito de la cirugía

Estatinas y diabetes

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