Value and limitations of existing scores for the assessment of cardiovascular risk: a review for clinicians.

Hdl Handle:
http://hdl.handle.net/10147/253462
Title:
Value and limitations of existing scores for the assessment of cardiovascular risk: a review for clinicians.
Authors:
Cooney, Marie Therese; Dudina, Alexandra L; Graham, Ian M
Affiliation:
Cardiology Department, Adelaide Meath Hospital, Tallaght, Dublin, Ireland.
Citation:
Value and limitations of existing scores for the assessment of cardiovascular risk: a review for clinicians. 2009, 54 (14):1209-27 J. Am. Coll. Cardiol.
Publisher:
Journal of the American College of Cardiology
Journal:
Journal of the American College of Cardiology
Issue Date:
29-Sep-2009
URI:
http://hdl.handle.net/10147/253462
DOI:
10.1016/j.jacc.2009.07.020
PubMed ID:
19778661
Abstract:
Atherosclerotic cardiovascular diseases (CVDs) are the biggest causes of death worldwide. In most people, CVD is the product of a number of causal risk factors. Several seemingly modest risk factors may, in combination, result in a much higher risk than an impressively raised single factor. For this reason, risk estimation systems have been developed to assist clinicians to assess the effects of risk factor combinations in planning management strategies. In this article, the performances of the major risk estimation systems are reviewed. Most perform usably well in populations that are similar to the one used to derive the system, and in other populations if calibrated to allow for different CVD mortality rates and different risk factor distributions. The effect of adding "new" risk factors to age, sex, smoking, lipid status, and blood pressure is usually small, but may help to appropriately reclassify some of those patients who are close to a treatment threshold to a more correct "treat/do not treat" category. Risk estimation in the young and old needs more research. Quantification of the hoped-for benefits of the multiple risk estimation approach in terms of improved outcomes is still needed. But, it is likely that the widespread use of such an approach will help to address the issues of both undertreatment and overtreatment.
Item Type:
Article
Language:
en
MeSH:
Age Factors; Cardiovascular Diseases; Humans; Models, Cardiovascular; Risk Assessment; Risk Factors
ISSN:
1558-3597

Full metadata record

DC FieldValue Language
dc.contributor.authorCooney, Marie Thereseen_GB
dc.contributor.authorDudina, Alexandra Len_GB
dc.contributor.authorGraham, Ian Men_GB
dc.date.accessioned2012-11-27T15:39:40Z-
dc.date.available2012-11-27T15:39:40Z-
dc.date.issued2009-09-29-
dc.identifier.citationValue and limitations of existing scores for the assessment of cardiovascular risk: a review for clinicians. 2009, 54 (14):1209-27 J. Am. Coll. Cardiol.en_GB
dc.identifier.issn1558-3597-
dc.identifier.pmid19778661-
dc.identifier.doi10.1016/j.jacc.2009.07.020-
dc.identifier.urihttp://hdl.handle.net/10147/253462-
dc.description.abstractAtherosclerotic cardiovascular diseases (CVDs) are the biggest causes of death worldwide. In most people, CVD is the product of a number of causal risk factors. Several seemingly modest risk factors may, in combination, result in a much higher risk than an impressively raised single factor. For this reason, risk estimation systems have been developed to assist clinicians to assess the effects of risk factor combinations in planning management strategies. In this article, the performances of the major risk estimation systems are reviewed. Most perform usably well in populations that are similar to the one used to derive the system, and in other populations if calibrated to allow for different CVD mortality rates and different risk factor distributions. The effect of adding "new" risk factors to age, sex, smoking, lipid status, and blood pressure is usually small, but may help to appropriately reclassify some of those patients who are close to a treatment threshold to a more correct "treat/do not treat" category. Risk estimation in the young and old needs more research. Quantification of the hoped-for benefits of the multiple risk estimation approach in terms of improved outcomes is still needed. But, it is likely that the widespread use of such an approach will help to address the issues of both undertreatment and overtreatment.en_GB
dc.language.isoenen
dc.publisherJournal of the American College of Cardiologyen_GB
dc.rightsArchived with thanks to Journal of the American College of Cardiologyen_GB
dc.subject.meshAge Factors-
dc.subject.meshCardiovascular Diseases-
dc.subject.meshHumans-
dc.subject.meshModels, Cardiovascular-
dc.subject.meshRisk Assessment-
dc.subject.meshRisk Factors-
dc.titleValue and limitations of existing scores for the assessment of cardiovascular risk: a review for clinicians.en_GB
dc.typeArticleen
dc.contributor.departmentCardiology Department, Adelaide Meath Hospital, Tallaght, Dublin, Ireland.en_GB
dc.identifier.journalJournal of the American College of Cardiologyen_GB
dc.description.provinceLeinsteren

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