Registro completo |
Provedor de dados: |
BJID
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País: |
Brazil
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Título: |
Comparison of the ACC/AHA and Framingham algorithms to assess cardiovascular risk in HIV-infected patients
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Autores: |
Pinto Neto,Lauro Ferreira da Silva
Dias,Fernanda Rezende
Bressan,Flavia Feres
Santos,Carolina Rocio Oliveira
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Data: |
2017-12-01
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Ano: |
2017
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Palavras-chave: |
Cardiovascular disease
HIV
Co-morbidities
Non-AIDS events
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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.
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Tipo: |
Info:eu-repo/semantics/article
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Idioma: |
Inglês
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Identificador: |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702017000600577
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Editor: |
Brazilian Society of Infectious Diseases
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Relação: |
10.1016/j.bjid.2017.06.007
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Formato: |
text/html
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Fonte: |
Brazilian Journal of Infectious Diseases v.21 n.6 2017
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Direitos: |
info:eu-repo/semantics/openAccess
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