Global risk scores and exercise testing for predicting all-cause mortality in a preventive medicine program

Aktaş, Müjdat; Ozduran, V.; Pothier, Claire E.; Lang, Richard; Lauer, Michael S.

doi:10.1016/j.accreview.2004.11.066

Cited by 47 publications

(80 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3 Two studies have reported on the change in the AUC. 19,20 These studies showed slight improvements in AUC, of a similar magnitude as in the current study. Yet the change in the AUC is of limited clinical usefulness.…”

Section: Comparison With Existing Literaturesupporting

confidence: 60%

See 1 more Smart Citation

Measurement of ECG abnormalities and cardiovascular risk classification: a cohort study of primary care patients in the Netherlands

et al. 2014

View full text Add to dashboard Cite

Section: Comparison With Existing Literaturesupporting

confidence: 60%

“…The discriminative value of both models was expressed with the area under the receiver operator curve (AUC). The 10-year absolute risk to develop e3 British Journal of General Practice, January 2015 [18][19][20] was calculated. The NRI quantifies the percentage of correct movement across categories for those with and without events.…”

Section: Discussionmentioning

confidence: 99%

Measurement of ECG abnormalities and cardiovascular risk classification: a cohort study of primary care patients in the Netherlands

et al. 2014

View full text Add to dashboard Cite

“…53,54 For this analysis, we created summary indicators by counting the number of high-risk indicators for each person. Similar approaches have been used in a number of analyses of summary biological risk or allostatic load.…”

Section: Methodsmentioning

confidence: 99%

Recent Changes in Cardiovascular Risk Factors among Women and Men

Kim

Alley

Seeman

et al. 2006

Journal of Women's Health

View full text Add to dashboard Cite

Background:The purpose of this study was to examine change over the 1990s in the proportion of men and women with measured high-risk values of cardiovascular risk factors.Methods: Change in the prevalence of high-risk conditions based on clinical cutoffs for 10 cardiovascular risk factors was assessed in respondents aged Ն40 from the nationally representative, cross-sectional National Health and Nutrition Examination Surveys (NHANES) III (1988)(1989)(1990)(1991)(1992)(1993)(1994) and IV (1999-2002).Results: Both sexes experienced a reduction in the prevalence of high-risk levels of cholesterol (total, high-density lipoprotein [HDL], and low-density lipoprotein [LDL]) and high homocysteine and an increase in obesity and high C-reactive protein (CRP). Changes in the prevalence of high total cholesterol and high CRP were more pronounced among women. The percentage of women with high diastolic and systolic blood pressure increased, whereas this percentage decreased among men. During the same time, there was an increase in undiagnosed high blood pressure and in the use of antihypertensive medications without achieving adequate blood pressure control among women. Both sexes increased their use of cholesterollowering medication. These changes in diagnosis rates and medication usage did not explain the trends in the prevalence of high-risk blood pressure or high-risk cholesterol, although the larger increase in high CRP among women is related to increased use of postmenopausal hormone therapy over the 1990s.Conclusions: We found mixed trends in cardiovascular risk factors for both women and men; some improved and some deteriorated. Changes in medication use and obesity did not explain these trends.

show abstract

“…Although there are no randomized controlled trials comparing clinical outcomes of patients with no symptoms who undergo screening by exercise ECG with patients who do not, large cohort studies have assessed the risk of death or myocardial infarction in this patient population, deemed low risk, at less than 1% per year. 7 Exercise testing has poor accuracy to diagnose hemodynamically important CAD in patients with no symptoms and has a relatively high rate of falsepositive results. 8 False-positive results can lead to increased downstream testing, overtreatment and unnecessary patient anxiety.…”

Section: Should This Patient Undergo Screening With Electrocardiography?mentioning

confidence: 99%

Cardiac testing in an asymptomatic 42-year-old man

Bhatia

Pendrith

Ross

2015

CMAJ

View full text Add to dashboard Cite

Global risk scores and exercise testing for predicting all-cause mortality in a preventive medicine program

Cited by 47 publications

References 0 publications

Measurement of ECG abnormalities and cardiovascular risk classification: a cohort study of primary care patients in the Netherlands

Measurement of ECG abnormalities and cardiovascular risk classification: a cohort study of primary care patients in the Netherlands

Recent Changes in Cardiovascular Risk Factors among Women and Men

Cardiac testing in an asymptomatic 42-year-old man

Contact Info

Product

Resources

About