dentification of High Risk Individuals for Cardiovascular Diseases through Framingham Risk Score (FRS) and Score Risk (SCORE)

S. Biradar, A. Jacob, Beedupalli nawaz, Khalid momin, P. Anand, Ambali, Vijaykumar Wararad, B. Shivakumar, Gaviraj, S. Chetankumar, Mutagound
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Abstract

According to WHO cardiovascular disease (CVD) is the major cause of death in the worldwide. In India too, it has gone through a drastic lifestyle modification from traditional to western one and adapting sedentary lifestyle, consequently prone the people for CVDs. The present study was undertaken to identify the high risk individuals for CVDs in the next 10 years by using the cardiovascular risk assessment tools such as FRS and SCORE and recommendation of lifestyle modification and initiation of pharmacotherapy. A prospective observational study was conducted in patients with all possible risk factors (age, sex, high blood pressure, high HDL, TC, Smoking, and Obesity) for CVD over a period of six month in a tertiary care hospital. A total numbers of patients selected for the study was 90 among, 49 were males and 41 were females. The patients were categorized in to different risk groups. According to FRS tool, 35.5% individuals were at high risk and with SCORE tool, it was 41.1%. Whereas 33.3% individual who were under the high risk for CVDs by both the tools. The individuals’ lies between mild to moderate risk for CVDs were recommended for lifestyle modification to attenuate the triggering risk factors. Whereas high risk individual by both the FRS and SCORE tools were recommended for lifestyle modification along with pharmacotherapy in order to keep the risk factors under control. Keywords: Cardiovascular diseases; Risk factors; Assessment tools; Primary prevention.
利用Framingham风险评分(FRS)和评分风险(Score)识别心血管疾病高危人群
据世界卫生组织称,心血管疾病(CVD)是世界范围内死亡的主要原因。在印度,人们也经历了从传统生活方式到西方生活方式的剧烈改变,适应了久坐不动的生活方式,因此容易患心血管疾病。本研究旨在通过心血管风险评估工具(如FRS和SCORE)以及生活方式改变和药物治疗的建议,确定未来10年心血管疾病的高危人群。一项前瞻性观察性研究在一家三级保健医院对具有所有可能的心血管疾病危险因素(年龄、性别、高血压、高HDL、TC、吸烟和肥胖)的患者进行了为期6个月的研究。入选研究的患者总数为90例,其中男性49例,女性41例。患者被分为不同的风险组。FRS检测结果为35.5%,SCORE检测结果为41.1%。而33.3%的人在两种工具中都处于心血管疾病的高风险之下。在心血管疾病轻度至中度风险之间的个体建议改变生活方式以减轻触发危险因素。然而,FRS和SCORE工具都建议高风险个体在药物治疗的同时进行生活方式改变,以控制风险因素。关键词:心血管疾病;风险因素;评估工具;初级预防。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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