Comparison of Framingham, JBS3 Heart, WHO/ISH and ACC/AHA ASCVD risk scores in South Indian women with first cardiovascular event
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 4
Abstract
There is a substantial burden of cardiovascular disease in women and primary prevention is desirable. Risk prediction models validated in western populations need to be assessed for applicability in Indian women. Materials and Methods Women who presented with first myocardial infarction were assessed using Framingham 2008, Framingham Adult Treatment Panel III, World Health Organisation International Society of Hypertension risk prediction chart, 3rd Joint British Societies risk calculator and American College of Cardiology/American Heart Association Atherosclerotic Cardiovascular disease risk calculator to see which model could correctly identify maximum number of patients as being at risk if they had presented prior to the acute coronary event. Results and Conclusions: 152 women of mean age 64.80 ± 13.35 were included in the study. In those aged ≤65, only Framingham 2008 categorized >50% individuals as being at more than low risk. In those aged above 65 all scoring systems categorized >50% individuals to be at more than low risk. When all ages were considered, ASCVD and Framingham were found to be the more appropriate predictors to assess cardiovascular risk in South Indian women. In those aged below 65 years, even an intermediate score should probably be a target for intervention and any score other than low should be advised diet and lifestyle modification. The accuracy of all scoring systems is reasonably adequate in those aged above 65.
Authors and Affiliations
Dr. MEENU M TERGESTINA
Keywords
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