Prognostic Value of the INTERHEART-cholesterol Risk Score in Patients Hospitalized for Chest Pain

Cordero, Alberto; López-Palop, Ramón; Carrillo, Pilar; Miralles, Beatriz; Masiá, M. Dolores; Bertomeu‐Martínez, Vicente

doi:10.1016/j.rec.2014.02.011

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Second, we used the INTERHEART Modifiable Risk Score, which was established for the prediction of myocardial infarction, to evaluate the risk‐factor burden of all cardiovascular diseases. Because the risk factors involved in the score were applicable for many noncommunicable chronic diseases, and the score was highly correlated to cardiovascular diseases other than myocardial infarction, it was widely employed in cardiovascular risk assessments …”

Section: Discussionmentioning

confidence: 99%

“…Because the risk factors involved in the score were applicable for many noncommunicable chronic diseases, and the score was highly correlated to cardiovascular diseases other than myocardial infarction, it was widely employed in cardiovascular risk assessments. 10,[28][29][30] Third, the medical history of cardiovascular diseases was self-reported, so its prevalence may be underestimated. However, previous studies showed that self-reports and hospital records were highly consistent for stroke and ischemic heart disease, [31][32][33] and the adjudication committee of the PURE-China Study had verified most of the disease cases; therefore, we assumed that all individuals who reported such events were cardiovascular patients.…”

Section: Discussionmentioning

confidence: 99%

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Cardiovascular Diseases and Risk‐Factor Burden in Urban and Rural Communities in High‐, Middle‐, and Low‐Income Regions of China: A Large Community‐Based Epidemiological Study

Yan

Wei

et al. 2017

JAHA

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BackgroundMost cardiovascular diseases occur in low‐ and middle‐income regions of the world, but the socioeconomic distribution within China remains unclear. Our study aims to investigate whether the prevalence of cardiovascular diseases differs among high‐, middle‐, and low‐income regions of China and to explore the reasons for the disparities.Methods and ResultsWe enrolled 46 285 individuals from 115 urban and rural communities in 12 provinces across China between 2005 and 2009. We recorded their medical histories of cardiovascular diseases and calculated the INTERHEART Risk Score for the assessment of cardiovascular risk‐factor burden, with higher scores indicating greater burden. The mean INTERHEART Risk Score was higher in high‐ and middle‐income regions than in low‐income regions (9.47, 9.48, and 8.58, respectively, P<0.0001). By contrast, the prevalence of total cardiovascular disease (stroke, ischemic heart disease, and other heart diseases that led to hospitalization) was lower in high‐ and middle‐income regions than in low‐income regions (7.46%, 7.42%, and 8.36%, respectively, P trend=0.0064). In high‐ and middle‐income regions, urban communities have higher INTERHEART Risk Score and higher prevalent rate than rural communities. In low‐income regions, however, the prevalence of total cardiovascular disease was similar between urban and rural areas despite the significantly higher INTERHEART Risk Score for urban settings.ConclusionsWe detected an inverse trend between risk‐factor burden and cardiovascular disease prevalence in urban and rural communities in high‐, middle‐, and low‐income regions of China. Such asymmetry may be attributed to the interregional differences in residents’ awareness, quality of healthcare, and availability and affordability of medical services.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cardiovascular Diseases and Risk‐Factor Burden in Urban and Rural Communities in High‐, Middle‐, and Low‐Income Regions of China: A Large Community‐Based Epidemiological Study

Yan

Wei

et al. 2017

JAHA

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“…The study used a self-administered INTERHEART Risk Score tool for data collection. INTERHEART is a large, international, standardized, case-control study designed as an initial step to assess the importance of risk factors for coronary heart disease involving 52 different countries [ 15 , 16 ]. Sixty-four trained community health workers used the INTERHEART Risk Score tool to screen the participants.…”

Section: Methodsmentioning

confidence: 99%

“…Validity was ensured by using a validated non-laboratory INTERHEART Risk Score tool [ 15 , 16 ]. The INTERHEART Risk Score tool was translated by an expert in translation into Northern Sotho, which is an indigenous language spoken by the majority of the participants.…”

Section: Methodsmentioning

confidence: 99%

Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas

Mphekgwana

Malema

Monyeki

et al. 2020

IJERPH

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The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 years in semi-urban and rural communities (1187 semi-urban and 1106 rural). Trained community health workers administered the INTERHEART Risk Score tool and performed blood pressure assessments using the MEDIC Pharmacists Choice Blood Pressure Monitor. Hypertension was defined to be a systolic blood pressure (BP) ≥ 140 mmHg and diastolic BP ≥ 90 mmHg. A multivariate logistic regression model was used to identify factors and determine their relationship with hypertension. The prevalence of hypertension amongst semi-urban and rural communities was 21% with no gender difference. In the semi-urban area, physical activity, family history, fruit intake, salty food, and eating meat were significantly associated with the odds of hypertension among women, whereas only the waist-to-hip ratio (WHR), diabetic status, and salty food were the predictors for rural women. Factors such as fried food and low fruit intake were significantly associated with the odds of hypertension among men in the semi-urban area, whereas only the WHR was significant among men in the rural area. Hypertension was found to be prevalent among semi-urban and rural adults in Limpopo Province, South Africa.

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Prevalence, Treatment, and Control of Hypercholesterolemia in High Cardiovascular Risk Patients: Evidences from a Systematic Literature Review in Spain

et al. 2015

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IntroductionCardiovascular diseases (CVDs) represent a major Public Health burden. High serum cholesterol levels have been linked to major CV risk. The objectives of this study were to review the epidemiology of hypercholesterolemia in high risk CV patients from Spain, by assessing its prevalence, the proportion of diagnosed patients undergoing pharmacological treatment and the degree of attained lipid control.MethodsA systematic literature review was carried out using Medline and two Spanish databases. Manuscripts containing information on hypercholesterolemia in several high CV risk groups [diabetes mellitus (DM), Systematic COronary Risk Evaluation (SCORE) risk >5, or documented CVD], published between January 2010 and October 2014, were included.ResultsOf the 1947 published references initially retrieved, a full-text review was done on 264 manuscripts and 120 were finally included. Prevalence of hypercholesterolemia ranged from 50 to 84% in diabetics, 30–60% in patients with DM or elevated SCORE risk, 64–74% with coronary heart disease, 40–70% in stroke patients, and 60–80% in those with peripheral artery disease. Despite the finding that most of them were on pharmacological treatment, acceptable control of serum lipids was very variable, ranging from 15% to 65%. Among those with heterozygous familial hypercholesterolemia, 95–100% received treatment but less than 50% achieved their therapeutic goals.ConclusionsAn elevated prevalence of hypercholesterolemia can be found in targeted groups at high CV risk. Although most patients are receiving pharmacological treatment, rates of lipid control continue to be low, both in primary and secondary prevention.Electronic supplementary materialThe online version of this article (doi:10.1007/s12325-015-0252-y) contains supplementary material, which is available to authorized users.

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Prognostic Value of the INTERHEART-cholesterol Risk Score in Patients Hospitalized for Chest Pain

Cited by 5 publications

References 8 publications

Cardiovascular Diseases and Risk‐Factor Burden in Urban and Rural Communities in High‐, Middle‐, and Low‐Income Regions of China: A Large Community‐Based Epidemiological Study

Cardiovascular Diseases and Risk‐Factor Burden in Urban and Rural Communities in High‐, Middle‐, and Low‐Income Regions of China: A Large Community‐Based Epidemiological Study

Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas

Prevalence, Treatment, and Control of Hypercholesterolemia in High Cardiovascular Risk Patients: Evidences from a Systematic Literature Review in Spain

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