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Systematic Examination of the Updated Framingham Heart Study General Cardiovascular Risk Profile

Circulation (New York, N.Y.), 2009-08, Vol.120 (5), p.384-390 [Peer Reviewed Journal]

2009 INIST-CNRS ;ISSN: 0009-7322 ;EISSN: 1524-4539 ;DOI: 10.1161/CIRCULATIONAHA.108.835470 ;PMID: 19620502 ;CODEN: CIRCAZ

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Title:
Systematic Examination of the Updated Framingham Heart Study General Cardiovascular Risk Profile
Author: MARMA, Amanda K ; LLOYD-JONES, Donald M
Subjects: Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cardiovascular Diseases - epidemiology ; Coronary heart disease ; Data Interpretation, Statistical ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Risk Assessment - methods ; Risk Factors ; Risk Reduction Behavior ; Sex Distribution ; United States - epidemiology
Is Part Of: Circulation (New York, N.Y.), 2009-08, Vol.120 (5), p.384-390
Description: An updated Framingham risk prediction tool was recently published. It features an expanded end point of general cardiovascular disease and a "vascular age" risk communication analogy. We systematically examined the tool to determine which risk factor combinations allow risk thresholds to be reached and how different risk factor burdens translate into vascular age. We varied risk factor levels in isolation and combination and observed risk output patterns, with high risk defined as > or =20% 10-year predicted risk. As expected, we found that age is the major determinant of 10-year predicted risk for both men and women. Younger individuals tend not to exceed 20% 10-year risk even with multiple risk factors, although with marked risk factor burden, including both smoking and diabetes mellitus, men as young as 35 years of age and women as young as 40 years of age can be classified as high risk. For the risk factor levels we entered, predicted risk ranges from 3.1% to 46.8% for a 45-year-old man and 2.4% to 42.7% for a 55-year-old woman. Likewise, vascular age ranges from 37 to >80 years for a 45-year-old man and 39 to >80 years for a 55-year-old woman. The inclusion of noncoronary end points in this tool expands the range of predicted risks for men and women at all ages studied. Nevertheless, many younger individuals with high risk factor burden have low 10-year predicted risk. Wide ranges of "vascular age" are available for most chronological ages to assist with risk communication.
Publisher: Hagerstown, MD: Lippincott Williams & Wilkins
Language: English
Identifier: ISSN: 0009-7322
EISSN: 1524-4539
DOI: 10.1161/CIRCULATIONAHA.108.835470
PMID: 19620502
CODEN: CIRCAZ
Source: GFMER Free Medical Journals
MEDLINE

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Systematic Examination of the Updated Framingham Heart Study General Cardiovascular Risk Profile

2009 INIST-CNRS ;ISSN: 0009-7322 ;EISSN: 1524-4539 ;DOI: 10.1161/CIRCULATIONAHA.108.835470 ;PMID: 19620502 ;CODEN: CIRCAZ

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