| Registro completo |
| Provedor de dados: |
BJID
|
| 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 < 0.000). Only 26.1% were classified as cardiovascular high risk by Framingham compared to 46% by ACC/AHA score (Kappa = 0.745; p < 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
|
| Direitos: |
info:eu-repo/semantics/openAccess
|
