Therapeutic implications of selecting the SCORE (European) versus the D'AGOSTINO (American) risk charts for cardiovascular risk assessment in hypertensive patients
Gomez-Marcos, Manuel A (Centro de Salud La Almedilla (Salamanca, Castella i Lleó))
Martínez Salgado, Carlos (Instituto Reina Sofía de Investigación Nefrológica (Salamanca, Castella i Lleó))
Martín-Cantera, Carlos (Universitat Autònoma de Barcelona. Departament de Medicina)
Recio Rodríguez, Jose I. (Centro de Salud La Almedilla (Salamanca, Castella i Lleó))
Castaño Sánchez, Yolanda (Centro de Salud La Almedilla (Salamanca, Castella i Lleó))
Giné-Garriga, Maria (Universitat Ramon Llull)
Rodríguez Sánchez, Emiliano (Centro de Salud La Almedilla (Salamanca, Castella i Lleó))
Garcia-Ortiz, Luis (Centro de Salud La Almedilla (Salamanca, Castella i Lleó))

Data:	2009
Resum:	Background: No comparisons have been made of scales estimating cardiovascular mortality and overall cardiovascular morbidity and mortality. The study objectives were to assess the agreement between the Framingham-D'Agostino cardiovascular risk (CVR) scale and the chart currently recommended in Europe (SCORE) with regard to identification of patients with high CVR, and to describe the discrepancies between them and the attendant implications for the treatment of hypertension and hyperlipidaemia. Methods: A total of 474 hypertensive patients aged 40-65 years monitored in primary care were enrolled into the study. CVR was assessed using the Framingham-D'Agostino scale, which estimates the overall cardiovascular morbidity and mortality risk, and the SCORE chart, which estimates the cardiovascular mortality risk. Cardiovascular risk was considered to be high for values ≥ 20% and ≥ 5% according to the Framingham-D'Agostino and SCORE charts respectively. Kappa statistics was estimated for agreement in classification of patients with high CVR. The therapeutic recommendations in the 2007 European Guidelines on Cardiovascular Disease Prevention were followed. Results:.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; Versió publicada
Publicat a:	BMC Cardiovascular disorders, Vol. 9, N. 17 (May. 2009) , p. 1-10, ISSN 1471-2261

DOI: 10.1186/1471-2261-9-17
PMID: 19432982

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