UTILIDAD DEL RIESGO CARDIOVASCULAR EN LA PREDICCIÓN DE LA ENFERMEDAD ARTERIAL CORONARIA / Usefulness of cardiovascular risk in the prediction of arterial coronary disease
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 pr...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cardiocentro Ernesto Che Guevara
2011-06-01
|
| Series: | CorSalud |
| Subjects: | |
| Online Access: | http://bvs.sld.cu/revistas/cors/pdf/2011/v3n2a11/utilidad.pdf |
| _version_ | 1818757924450729984 |
|---|---|
| author | Ronald Aroche Aportela Ángel Yaniel Rodríguez Navarro Abel Ventura Base |
| author_facet | Ronald Aroche Aportela Ángel Yaniel Rodríguez Navarro Abel Ventura Base |
| author_sort | Ronald Aroche Aportela |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-18T06:18:40Z |
| format | Article |
| id | doaj.art-b921f78b81c045fcbe8e27aecc2f09da |
| institution | Directory Open Access Journal |
| issn | 2078-7170 |
| language | English |
| last_indexed | 2024-12-18T06:18:40Z |
| publishDate | 2011-06-01 |
| publisher | Cardiocentro Ernesto Che Guevara |
| record_format | Article |
| series | CorSalud |
| spelling | doaj.art-b921f78b81c045fcbe8e27aecc2f09da2022-12-21T21:18:12ZengCardiocentro Ernesto Che GuevaraCorSalud2078-71702011-06-01325969UTILIDAD DEL RIESGO CARDIOVASCULAR EN LA PREDICCIÓN DE LA ENFERMEDAD ARTERIAL CORONARIA / Usefulness of cardiovascular risk in the prediction of arterial coronary diseaseRonald Aroche AportelaÁngel Yaniel Rodríguez NavarroAbel Ventura BaseIntroduction 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.http://bvs.sld.cu/revistas/cors/pdf/2011/v3n2a11/utilidad.pdfRisk assessmentrisk indexcoronary artery diseasecoronary stenosiscardiovascular diagnostic techniques |
| spellingShingle | Ronald Aroche Aportela Ángel Yaniel Rodríguez Navarro Abel Ventura Base UTILIDAD DEL RIESGO CARDIOVASCULAR EN LA PREDICCIÓN DE LA ENFERMEDAD ARTERIAL CORONARIA / Usefulness of cardiovascular risk in the prediction of arterial coronary disease CorSalud Risk assessment risk index coronary artery disease coronary stenosis cardiovascular diagnostic techniques |
| title | UTILIDAD DEL RIESGO CARDIOVASCULAR EN LA PREDICCIÓN DE LA ENFERMEDAD ARTERIAL CORONARIA / Usefulness of cardiovascular risk in the prediction of arterial coronary disease |
| title_full | UTILIDAD DEL RIESGO CARDIOVASCULAR EN LA PREDICCIÓN DE LA ENFERMEDAD ARTERIAL CORONARIA / Usefulness of cardiovascular risk in the prediction of arterial coronary disease |
| title_fullStr | UTILIDAD DEL RIESGO CARDIOVASCULAR EN LA PREDICCIÓN DE LA ENFERMEDAD ARTERIAL CORONARIA / Usefulness of cardiovascular risk in the prediction of arterial coronary disease |
| title_full_unstemmed | UTILIDAD DEL RIESGO CARDIOVASCULAR EN LA PREDICCIÓN DE LA ENFERMEDAD ARTERIAL CORONARIA / Usefulness of cardiovascular risk in the prediction of arterial coronary disease |
| title_short | UTILIDAD DEL RIESGO CARDIOVASCULAR EN LA PREDICCIÓN DE LA ENFERMEDAD ARTERIAL CORONARIA / Usefulness of cardiovascular risk in the prediction of arterial coronary disease |
| title_sort | utilidad del riesgo cardiovascular en la prediccion de la enfermedad arterial coronaria usefulness of cardiovascular risk in the prediction of arterial coronary disease |
| topic | Risk assessment risk index coronary artery disease coronary stenosis cardiovascular diagnostic techniques |
| url | http://bvs.sld.cu/revistas/cors/pdf/2011/v3n2a11/utilidad.pdf |
| work_keys_str_mv | AT ronaldarocheaportela utilidaddelriesgocardiovascularenlapredicciondelaenfermedadarterialcoronariausefulnessofcardiovascularriskinthepredictionofarterialcoronarydisease AT angelyanielrodrigueznavarro utilidaddelriesgocardiovascularenlapredicciondelaenfermedadarterialcoronariausefulnessofcardiovascularriskinthepredictionofarterialcoronarydisease AT abelventurabase utilidaddelriesgocardiovascularenlapredicciondelaenfermedadarterialcoronariausefulnessofcardiovascularriskinthepredictionofarterialcoronarydisease |