Artículos de revistas
Distribution of Short-Term and Lifetime Predicted Risks of Cardiovascular Diseases in Peruvian Adults
Journal of the American Heart Association
BACKGROUND: Short-term risk assessment tools for prediction of cardiovascular disease events are widely recommended in clinical practice and are used largely for single time-point estimations; however, persons with low predicted short-term risk may have higher risks across longer time horizons. METHODS AND RESULTS: We estimated short-term and lifetime cardiovascular disease risk in a pooled population from 2 studies of Peruvian populations. Short-term risk was estimated using the atherosclerotic cardiovascular disease Pooled Cohort Risk Equations. Lifetime risk was evaluated using the algorithm derived from the Framingham Heart Study cohort. Using previously published thresholds, participants were classified into 3 categories: low short-term and low lifetime risk, low short-term and high lifetime risk, and high short-term predicted risk. We also compared the distribution of these risk profiles across educational level, wealth index, and place of residence. We included 2844 participants (50% men, mean age 55.9 years [SD 10.2 years]) in the analysis. Approximately 1 of every 3 participants (34% [95% CI 33 to 36]) had a high short-term estimated cardiovascular disease risk. Among those with a low short-term predicted risk, more than half (54% [95% CI 52 to 56]) had a high lifetime predicted risk. Short-term and lifetime predicted risks were higher for participants with lower versus higher wealth indexes and educational levels and for those living in urban versus rural areas (P<0.01). These results were consistent by sex. CONCLUSIONS: These findings highlight potential shortcomings of using short-term risk tools for primary prevention strategies because a substantial proportion of Peruvian adults were classified as low short-term risk but high lifetime risk. Vulnerable adults, such as those from low socioeconomic status and those living in urban areas, may need greater attention regarding cardiovascular preventive strategies.
Showing items related by title, author, creator and subject.
Mortalidade cardiovascular por sexo e faixa etária em São Paulo, Brasil: 1996 a 1998 e 2003 a 2005 FARIAS, Norma; SOUZA, José Maria Pacheco de; LAURENTI, Ruy; ALENCAR, Soraya Martins de (Sociedade Brasileira de Cardiologia - SBC, 2009)FUNDAMENTO: O conhecimento da evolução da mortalidade cardiovascular é importante para levantar hipóteses sobre a sua ocorrência e subsidiar medidas de prevenção e controle. OBJETIVOS: Comparar a mortalidade pelo conjunto ...
Relación de la razón neutrófilos entre linfocitos (RNL) con la puntuación de riesgo GRACE (Global Registry of Acute Coronary Events) en la predicción de eventos adversos cardiovasculares mayores y mortalidad durante un período de seguimiento de 36 meses, en adultos con síndrome coronario agudo sin elevación del ST atendidos en el Servicio de Cardiología del Hospital San Rafael de Alajuela en el período enero a diciembre del año 2013 Avila Sánchez, Diego Alberto (2017)
Martínez Guevara, Ingrid M.; Ortiz Diosa, Jefferson S.