Assessment of cardiovascular risk in primary health care

被引：8

作者：

Korhonen, Paivi ^{[1
,2
]}

Vesalainen, Risto ^{[3
,4
]}

Aarnio, Pertti ^{[5
]}

Kautiainen, Hannu ^{[6
,7
]}

Jarvenpaa, Salme ^{[8
]}

Kantola, Ilkka ^{[3
]}

机构：

[1] Cent Satakunta Hlth Federat Municipal, Harjavalta 29200, Finland

[2] Univ Turku, Inst Clin Med, Turku, Finland

[3] Univ Turku, Dept Med, Turku, Finland

[4] Pulssi Med Ctr, Turku, Finland

[5] Satakunta Hosp Dist, Dept Surg, Pori, Finland

[6] Cent Finland Cent Hosp, Dept Family Practice, Jyvaskyla, Finland

[7] Kuopio Univ Hosp, Unit Primary Hlth Care, SF-70210 Kuopio, Finland

[8] Medcare Fdn, Aanekoski, Finland

来源：

SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE | 2012年 / 30卷 / 02期

关键词：

Ankle-brachial index; cardiovascular risk estimation; gender difference; glucose disorders; renal function; ANKLE-BRACHIAL INDEX; PERIPHERAL-ARTERIAL-DISEASE; EUROPE; SCORE;

D O I：

10.3109/02813432.2012.675564

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective. This study aimed at investigating whether cardiovascular risk factors and their impact on total risk estimation differ between men and women. Design. Cross-sectional cohort study. Subjects. Finnish cardiovascular risk subjects (n = 904) without established cardiovascular disease, renal disease, or known diabetes. Main outcome measures. Ankle-brachial index (ABI), estimated glomerular filtration rate (eGFR), oral glucose tolerance test, and total cardiovascular risk using SCORE risk charts. Results. According to the SCORE risk charts, 27.0% (95% CI 23.1-31.2) of the women and 63.1% (95% CI 58.3-67.7) of the men (p < 0.001) were classified as high-risk subjects. Of the women classified as low-risk subjects according to SCORE, 25% had either subclinical peripheral arterial disease or renal insufficiency. Conclusions. The SCORE system does not take into account cardiovascular risk factors typical in women, and thus underestimates their total cardiovascular risk. Measurement of ABI and eGFR in primary care might improve cardiovascular risk assessment. especially in women.

引用

页码：101 / 106

页数：6

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