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ISSN 2078-7170 (Electronic)

2011, Number 2

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CorSalud 2011; 3 (2)

Usefulness of cardiovascular risk in the prediction of coronary artery disease

Ventura BA, Aroche AR, Rodríguez NÁY

Language: Spanish
References: 30
Page: 59-69
PDF size: 544.28 Kb.


ABSTRACT

Introduction and Objectives: Heart disease is the leading cause of death in Cuba. Currently, the assessment of the extent and severity of coronary lesions is performed through invasive and expensive methods. The purpose of this research was to determine the usefulness of total cardiovascular risk prior to coronariography in the prediction of coronary artery disease. Methods: A retrospective and descriptive study was performed on 422 patients who had undergone coronariography. 257 were chosen with suspected coronary artery disease, according to inclusion criteria. To estimate the total cardiovascular risk, the AMR A tables from the World Health Organization were used. Results: 58,75 % was found to have significant coronary artery stenosis. Male gender, cigarette smoking, blood pressure ≥ 140 mmHg, history of hypertension, dyslipidemia and acute coronary syndrome, were related to the presence of the disease, unlike diabetes and age ≥ 50 years. 53,7 % of patients had low cardiovascular risk, their sensitivity for predicting coronary artery disease was 79,8 %, their specificity 59,4 % with positive and negative predictive values of 62,9 % and 77,4 % respectively. Conclusions: Most of the individuals without coronary heart disease had a total cardiovascular risk ≤ 10 %. This index has a high negative predictive value and high sensitivity, whereas specificity and positive predictive value were not as high, and did not behave as useful parameters in predicting the severity and extent of coronary disease.


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