Data/hora: 04/06/2024 01:13:59

Provedor de dados: | 55
País: | Brazil
Título: | Comparison of the ACC/AHA and Framingham algorithms to assess cardiovascular risk in HIV-infected patients
Autores: | Pinto Neto,Lauro Ferreira da Silva; Dias,Fernanda Rezende; Bressan,Flavia Feres; Santos,Carolina Rocio Oliveira.
Data: | 2017-12-01
Ano: | 2017
Palavras-chave: | Cardiovascular disease; HIV; Co-morbidities; Non-AIDS events.
Resumo: | ABSTRACT The aim of this study was to compare the predictions of Framingham cardiovascular (CV) risk score (FRS) and the American College of Cardiology/American Heart Association (ACC/AHA) risk score in an HIV outpatient clinic in the city of Vitoria, Espirito Santo, Brazil. In a cross-sectional study 341 HIV infected patients over 40 years old consecutively recruited were interviewed. Cohen's kappa coefficient was used to assess agreement between the two algorithms. 61.3% were stratified as low risk by Framingham score, compared with 54% by ACC/AHA score (Spearman correlation 0.845; p &lt; 0.000). Only 26.1% were classified as cardiovascular high risk by Framingham compared to 46% by ACC/AHA score (Kappa = 0.745; p &lt; 0.039). Only one out of eight patients had cardiovascular high risk by Framingham at the time of a myocardial infarction event registered up to five years before the study period. Both cardiovascular risk scores but especially Framingham underestimated high-risk patients in this HIV-infected population.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702017000600577
Editor: | Brazilian Society of Infectious Diseases
Relação: | 10.1016/j.bjid.2017.06.007
Formato: | text/html
Fonte: | Brazilian Journal of Infectious Diseases  v.21 n.6 2017
Fonte: | info:eu-repo/semantics/openAccess