Estimation of coronary heart disease risk in Chilean subjects based on adapted Framingham equations

Cardiovascular disease is the leading cause of morbidity and mortality in Chile and worldwide. Framingham functions were developed to calculate overall coronary heart disease risk. However these functions overestimate the risk in some countries like Chile. To develop Chilean risk tables to assess th...

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Veröffentlicht in:Revista medíca de Chile 2009-10, Vol.137 (10), p.1273-1282
Hauptverfasser: Icaza, Gloria, Núñez, Loreto, Marrugat, Jaume, Mujica, Verónica, Escobar, M Cristina, Jiménez, Ana Luisa, Pérez, Paulina, Palomo, Iván
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container_end_page 1282
container_issue 10
container_start_page 1273
container_title Revista medíca de Chile
container_volume 137
creator Icaza, Gloria
Núñez, Loreto
Marrugat, Jaume
Mujica, Verónica
Escobar, M Cristina
Jiménez, Ana Luisa
Pérez, Paulina
Palomo, Iván
description Cardiovascular disease is the leading cause of morbidity and mortality in Chile and worldwide. Framingham functions were developed to calculate overall coronary heart disease risk. However these functions overestimate the risk in some countries like Chile. To develop Chilean risk tables to assess the overall 10-year risk of coronary heart disease. The Framingham function was adapted for a population aged 35 to 74 years, based on an estimate of Chilean incidence of coronary heart disease and the prevalence of coronary heart disease risk factors such as age, sex, total cholesterol, high-density lipoprotein cholesterol, blood pressure, diabetes and smoking. The 10-year incidence of coronary heart disease in Chile (2.7% in men, 1.096 in women) was lower than the incidence in the United States (10.096/3.896) and Spain (4.996/2.296), but higher than China (1.196/0.496). Framingham tables have more than 50% of cells in the risk category of 10% or greater. In contrast, Chilean tables have less than 10% of cells in the same risk category. Adapted tables use local information to calculate overall coronary heart disease risk. A validation study should be conducted to assess their predictive power.
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Framingham functions were developed to calculate overall coronary heart disease risk. However these functions overestimate the risk in some countries like Chile. To develop Chilean risk tables to assess the overall 10-year risk of coronary heart disease. The Framingham function was adapted for a population aged 35 to 74 years, based on an estimate of Chilean incidence of coronary heart disease and the prevalence of coronary heart disease risk factors such as age, sex, total cholesterol, high-density lipoprotein cholesterol, blood pressure, diabetes and smoking. The 10-year incidence of coronary heart disease in Chile (2.7% in men, 1.096 in women) was lower than the incidence in the United States (10.096/3.896) and Spain (4.996/2.296), but higher than China (1.196/0.496). Framingham tables have more than 50% of cells in the risk category of 10% or greater. In contrast, Chilean tables have less than 10% of cells in the same risk category. 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Adapted tables use local information to calculate overall coronary heart disease risk. A validation study should be conducted to assess their predictive power.</abstract><cop>Chile</cop><pmid>20011933</pmid><tpages>10</tpages></addata></record>
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subjects Adult
Aged
Chile - epidemiology
China - epidemiology
Coronary Disease - epidemiology
Coronary Disease - etiology
Diabetes Complications - epidemiology
Female
Humans
Incidence
Male
Middle Aged
Prevalence
Risk Assessment - methods
Risk Factors
Sex Distribution
Spain - epidemiology
United States - epidemiology
title Estimation of coronary heart disease risk in Chilean subjects based on adapted Framingham equations
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