Usefulness of the American Heart Association's Ideal Cardiovascular Health measure to predict long-term major adverse cardiovascular events (From the Heart SCORE Study)
The American Journal of Cardiology Oct 31, 2020
Nguyen ATH, Saeed A, Bambs CE, et al. - Researchers assessed the association between Ideal Cardiovascular Health (ICH) and incident major adverse cardiovascular events (MACE: first occurrence of death, myocardial infarction, stroke, acute ischemic syndrome, or coronary revascularization), using the Heart Strategies Concentrating on Risk Evaluation (Heart SCORE) study cohort. At study entry, experts scored the 7 factors of the ICH (smoking status, body mass index, physical activity, diet, total cholesterol, blood pressure, and fasting plasma glucose) on a 0 to 2 scale, leading to possible range of 0 to 14, with higher scores representing “better” health. In unadjusted analysis, an estimated 12% lower risk of MACE was revealed in relation to the ICH score (per 1 unit). Following adjustment for demographics, education, and quality of life, ICH score was found to be related to a 10% lower risk of MACE. Overall, the American Heart Association ICH construct, which incorporates 7 modifiable cardiovascular disease risk factors, seemed to be a valid measure for predicting long-term risk of MACE in a community-based sample of adults.
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