2011, Number 3
<< Back Next >>
Rev Med Inst Mex Seguro Soc 2011; 49 (3)
A comparative assessment of the cardiovascular risk in open Spanish population using four approaches
López-González ÁA, Vicente-Herrero MT
Language: Spanish
References: 18
Page: 267-271
PDF size: 30.47 Kb.
ABSTRACT
Objective: the aim was to evaluate the correlation between the
Framingham and REGICOR scales for quantifying cardiovascular
risk in normal Spanish population.
Methods: this cross-sectional study involved 1306 subjects aged
35 to 65 years who had an indication for a complete lipid profile.
The agreement between Framingham and REGICOR scales,
was evaluated using the Pearson coefficient.
Results: the best correlation was observed between the different
Framingham’s scales (Pearson correlation index between
0,8 and 0,918). The correlation between Framingham’s scales
and REGICOR’s scale was of 0,288 and 0,538.
Conclusions: the cardiovascular risk levels determined by
Framingham and REGICOR scales are different. In our study
the Framingham’s scales overestimate the risk.
REFERENCES
Menotti A, Lanti M, Puddu PE, Kromhout D. Coronary heart disease incidence in Northern and Southern European populations: a reanalysis of the seven countries study for an European coronary risk chart. Heart 2000;84(3):238-244.
Menotti A, Puddu PE, Lanti M. Comparison of the Framingham risk function-based coronary chart risk function from an Italian population study. Eur Hearth J 2000;21(5):365- 370.
Tomás AL, Vares LC, Pérez I, Puig T, Balaguer I. Factores de riesgo y morbimortalidad coronaria en una cohorte laboral mediterránea seguida durante 28 años. Estudio Manresa. Rev Esp Cardiol 2001;54(10):1146-1154.
4 Kuulasmaa K, Tunstall-Pedoe H, Dobson A, Fortmann S, Sans S, Tolonen H, et al. Estimation of contribution of changes in classic risk factors to trends in coronary-event rates across the WHO MONICA Project populations. Lancet 2000;355(9205):675-687.
Pérez G, Pena A, Sala J, Roset PN, Masiá R, Marrugat J, and the REGICOR investigators. Acute myocardial infarction case fatality, incidence and mortality rates in a population registry in Girona, Spain, 1990-1992. Int J Epidemiol 1998;27(4):599-604.
Masiá R, Pena A, Marrugat J, et al. High prevalence of cardiovascular risk factors in Girona, Spain, a province with low myocardial infarction incidence. J Epidemiol Community Health 1998;52(11):707-715.
D’Agostino RB, Grundy S, Sullivan LM, Wilson P. Validation of the Framingham Coronary Hearth Disease Prediction Scores: results of a multiple ethnic groups investigation. JAMA 2001;286(2):180-187.
Hense HW, Schulte H, Lowel H, Assman G, Keil U. Framingham risk function overestimates risk of coronary hearth disease in men and women from Germany: results of the MONICA Augsburg and the PROCAM cohorts. Eur Hearth J 2003;24(10):937-945.
Marrugat J, Solanas P, D’Agostino R, Sullivan L, Ordovas J, Cordón F, et al. Estimación del riesgo coronario en España mediante la ecuación de Framingham calibrada. Rev Esp Cardiol 2003;56(3):253-261.
Marrugat J, D’Agostino R, Sullivan L, Elosua R, Wilson P, Ordovás J, et al. An adaptation of the Framingham risk function to southern Europe Mediterranean areas. J Epidemiol Community Health 2003;57(8):634-638.
European Society of Hypertension, European Society of Cardiology Cuidelines Committee. 2003 European Society of Hypertension-European Society of Cardiology guidelines for the manegement of arterial hypertension. J Hypertens 2003;21(6):1011-1053.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr. et al. Seventh report of the Joint National Commitee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003;42 (6):1206-52.
Baena-Diez JM, Del Val JL, Salas-Gaetgens LH, et al. Comparación de los modelos SCORE Y REGICOR para el cálculo del riesgo cardiovascular en sujetos sin enfermedad cardiovascular atendidos en un centro de salud de Barcelona. Rev Esp Salud Publica 2005;79(4):453-464. Disponible en http://scielo.isciii.es/scielo.php?pid=S1135- 57272005000400003&script=sci_arttext
Solanas P, Masiá R, Ramos R, et al. Comparación de la función Framingham original y la calibrada del REGICOR en la predicción del riesgo coronario poblacional. Med Clin 2003;121(14):521-526.
Cristóbal J, Lago F, De la Fuente J, González-Juanatey JR, Vázquez-Bellés P, Vila M. Ecuación de Framingham de Wilson y ecuación de REGICOR. Estudio comparativo. Rev Esp Cardiol 2005;58(8):910-915.
Álvarez A, Díaz L, López V, Prieto MA, Suárez S. Comparación de los modelos Score y Framinghan en el cálculo de alto riesgo cardiovascular para una muestra de varones de 45 y 65 años de Asturias. Rev Esp Salud Publica 2005;79(4):465-473.
Gil-Guillén V, Orozco-Beltrán D, Maiques-Galán A, Aznar- Vicente J, Navarro J, Cea-Calvo L, et al. Concordancia de las escalas REGICOR y SCORE para la identificación del riesgo cardiovascular alto en la población española. Rev Esp Cardiol 2007;60(10):1042-1050.
Brindle P, Beswick A, Fahey T, Ebrahim S. Accuracy and impact of risk assessment in the primary prevention of cardiovascular disease: a systematic review. Heart 2006;92 (12):1752-1759.