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20240717233319.0 |
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240716s2024 xx |||||o 00| ||eng c |
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|a 10.37616/2212-5043.1386
|2 doi
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|a pubmed24n1473.xml
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|a (DE-627)NLM374987467
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|a (NLM)39011030
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a eng
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| 100 |
1 |
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|a Kamal, Sharma
|e verfasserin
|4 aut
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1 |
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|a To Evaluate Efficiency of Various Coronary Artery Disease Risk Scores With Traditional Risk Factors in Patients Undergoing Coronary Angiography
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|c 2024
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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|a ƒa Online-Ressource
|b cr
|2 rdacarrier
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|a Date Revised 17.07.2024
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2024 Saudi Heart Association.
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|a Objective: To analyze and compare various cardiovascular disease risk scores in Western Indian patients undergoing Coronary angiogram (CAG)
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|a Methods: In this prospective cross-sectional study, 1213 patients who underwent conventional coronary angiography; clinical risk profile and biochemical investigations were evaluated prior to undergoing CAG. Apart from the demographic information, 10-year absolute risk of having a major cardiovascular event (cardiovascular death, myocardial infarction or stroke) was calculated for each patient using various available Traditional Risk Scores (TRS). The population was divided in low, intermediate and high-risk categories for each of these scores
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|a Results: Traditional cardiovascular risk factors like hypertension (41.8%) and diabetes mellitus-II (26.9%) were the two most prevalent risk factors in our study population. A higher risk value for all these TRS was more likely to be associated with obstructive coronary artery disease (OCAD) on CAG. Patients with high risk (≥20% for 10-year) QRESEARCH (QRISK3) score category had higher number of patients with obstructive CAD (49.6%) as compared to high risk category of risk score for those with high Global Registry of Acute Coronary Events (GRACE) score (46.6%) or risk Framingham (FRS CHD) score (29.2%) and risk atherosclerotic cardiovascular disease (ASCVD) score (30.1%) (P < 0.0001). A higher TRS was more likely to be associated with obstructive CAD, with the highest predictability being with QRISK3 (QRISK3 score 60.9%, GRACE score 54.9%, FRS-CHD score 34% and ASCVD score 42.1% respectively; P < 0.0001). A substantial study population (27.4%) cannot be identified using any of these TRS and hence a need of indigenous or modified risk scores is proposed
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|a Conclusion: QRISK3 score was most efficacious for predicting obstructive CAD in our Indian study population on CAG. A higher risk score also correlated with the number of vessels involved on coronary angiogram. A substantial obstructive CAD patient could not be identified using traditional risk scores hence need for an indigenous or modified score
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|a Journal Article
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|a Coronary angiography
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|a Coronary artery disease
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| 650 |
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|a Risk score model
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|a Risk stratification
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1 |
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|a Jasraj, Panwar
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Krutika, Patel
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Devratsinh, Parmar
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Maulik, Kalyani
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Dixit, Dhorajiya
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t Journal of the Saudi Heart Association
|d 1999
|g 36(2024), 2 vom: 09., Seite 128-136
|w (DE-627)NLM098225227
|x 1016-7315
|7 nnns
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| 773 |
1 |
8 |
|g volume:36
|g year:2024
|g number:2
|g day:09
|g pages:128-136
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| 856 |
4 |
0 |
|u http://dx.doi.org/10.37616/2212-5043.1386
|3 Volltext
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|a AR
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| 952 |
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|d 36
|j 2024
|e 2
|b 09
|h 128-136
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