| Revista: | Revista médica de Chile |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000407075 |
| ISSN: | 0034-9887 |
| Autores: | Santiago Acevedo, Mónica1 Valentino, Giovanna1 Kramer, Verónica1 Bustamante, María José1 Adasme, Marcela1 Orellana, Lorena1 Baraona, Fernando1 Navarrete, Carlos2 |
| Instituciones: | 1Pontificia Universidad Católica de Chile, Facultad de Medicina, Santiago de Chile. Chile 2Universidad de La Serena, Departamento de Matemáticas, La Serena, Coquimbo. Chile |
| Año: | 2017 |
| Periodo: | Mar |
| Volumen: | 145 |
| Número: | 3 |
| Paginación: | 292-298 |
| País: | Chile |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Recently, the American College of Cardiology and American Heart Association (ACC/AHA) proposed a new cardiovascular risk (CV) score. Aim: To evaluate the new risk score (ACC/AHA 2013) in a Chilean population. Material and Methods: Between 2002 and 2014, body mass index (BMI), waist circumference, blood pressure, lipid profile and fasting blood glucose levels were measured and a survey about CV risk factors was responded by 3,284 subjects aged 40 to 79 years (38% females), living in urban Santiago. ACC/AHA 2013, FRAM and Chilean FRAM scores were calculated. All-cause mortality was determined in July 2014 by consulting the Death Registry of the Chilean Identification Service, with an average follow up of 7 ± 3 years. Results: The prevalence of risk factors were 78% for dyslipidemia, 37% for hypertension, 20% for smoking, 7% for diabetes, 20% for obesity and 54% for physical inactivity. The mean FRAM, Chilean FRAM and ACC/AHA scores were 8, 3 and 9%, respectively. During follow-up, 94 participants died and 34 deaths were of cardiovascular cause. Participants who died had a higher prevalence of hypertension (p < 0.01) and diabetes (p < 0. 01) and tended to be older (p = 0.06). The FRAM score for 10 years for deceased and surviving patients was 12 and 8%, respectively (p = NS). The figures for the Chilean FRAM were 5 and 2%, respectively (p = 0.09). The figures for the ACC/AHA 2013 score were 33 and 9%, respectively (p = 0.04). According to receiver operating characteristic curves, ACC/AHA 2013 had a higher area under de curve for CV mortality than FRAM and Chilean FRAM. Conclusions: The new ACC/AHA 2013 score, is better than traditional FRAM and Chilean FRAM scores in predicting cardiovascular mortality in a low risk population |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Salud pública, Sistema cardiovascular, Enfermedades cardiovasculares, Medicina preventiva, Puntaje de riesgo, Mortalidad, Factores de riesgo |
| Keyword: | Medicine, Cardiovascular system, Diagnosis, Public health, Cardiovascular diseases, Preventive medicine, Risk score, Mortality, Risk factors |
| Texto completo: | Texto completo (Ver HTML) |
