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Global risk of coronary heart disease: assessment and application.

Publication ,  Journal Article
Viera, AJ; Sheridan, SL
Published in: Am Fam Physician
August 1, 2010

Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical primary prevention efforts. Global risk of coronary heart disease is a calculation of the absolute risk of having a coronary heart disease event (e.g., death, myocardial infarction) over a specified period. It is based on an empiric equation that combines major risk factors, such as blood pressure and cholesterol levels. When physicians know a patient's global risk of coronary heart disease, they are more likely to prescribe risk-reducing therapies such as antihypertensives, statins, and aspirin. In addition, patients who know their risk level are more likely to initiate risk-reducing therapies. Many tools are available to estimate global risk, including several Web-based calculators. In the United States, tools based on the Framingham Heart Study are recommended.

Duke Scholars

Published In

Am Fam Physician

EISSN

1532-0650

Publication Date

August 1, 2010

Volume

82

Issue

3

Start / End Page

265 / 274

Location

United States

Related Subject Headings

  • United States
  • Survival Rate
  • Risk Factors
  • Risk Assessment
  • Predictive Value of Tests
  • Incidence
  • Humans
  • General & Internal Medicine
  • Coronary Disease
  • 4203 Health services and systems
 

Citation

APA
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ICMJE
MLA
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Viera, A. J., & Sheridan, S. L. (2010). Global risk of coronary heart disease: assessment and application. Am Fam Physician, 82(3), 265–274.
Viera, Anthony J., and Stacey L. Sheridan. “Global risk of coronary heart disease: assessment and application.Am Fam Physician 82, no. 3 (August 1, 2010): 265–74.
Viera AJ, Sheridan SL. Global risk of coronary heart disease: assessment and application. Am Fam Physician. 2010 Aug 1;82(3):265–74.
Viera, Anthony J., and Stacey L. Sheridan. “Global risk of coronary heart disease: assessment and application.Am Fam Physician, vol. 82, no. 3, Aug. 2010, pp. 265–74.
Viera AJ, Sheridan SL. Global risk of coronary heart disease: assessment and application. Am Fam Physician. 2010 Aug 1;82(3):265–274.

Published In

Am Fam Physician

EISSN

1532-0650

Publication Date

August 1, 2010

Volume

82

Issue

3

Start / End Page

265 / 274

Location

United States

Related Subject Headings

  • United States
  • Survival Rate
  • Risk Factors
  • Risk Assessment
  • Predictive Value of Tests
  • Incidence
  • Humans
  • General & Internal Medicine
  • Coronary Disease
  • 4203 Health services and systems