Evaluation of a Cardiovascular Risk in Young Men
https://doi.org/10.31550/1727-2378-2023-22-4-7-17
Abstract
Aim: To review the current scales for the evaluation of a cardiovascular risk in young men (under 45 years of age).
Key Points. The common cardiovascular risk evaluation scales are used mostly for subjects of over 40 years of age, thus complicating the prognosis of cardiovascular disorders in young people and, therefore, can result in low efficiency of preventive measures in this age group. The article describes cardiovascular risk calculators that can be used for young people, and their properties, advantages and possible use in clinical practice.
Conclusion. The most useful for practical settings are QRISK3 and Mayo Clinic Heart Disease Calculator. Their use is limited since these calculators are in English. Validation of these scales in Russian young people is essential.
About the Authors
V. V. VeretyukRussian Federation
52 Krasny Ave, Novosibirsk, 630091
O. V. Tsygankova
Russian Federation
52 Krasny Ave, Novosibirsk, 630091; 90A Olgi Zhilinoy St., Novosibirsk, 630005
A. S. Ametov
Russian Federation
2/1 Barrikadnaya Str., build. 1, Moscow, 125993
References
1. Arora S., Stouffer G.A., Kucharska-Newton A.M. et al. Twenty year trends and sex differences in young adults hospitalized with acute myocardial infarction. Circulation. 2019;139(8):1047–1056. DOI: 10.1161/ CIRCULATIONAHA.118.037137
2. Popov S.V., Garganeeva A.A., Borel K.N. et al. Myocardial infarction in young patients: long-term analysis of specificity of appearance, clinical course and strategies of management. Complex issues of cardiovascular diseases. 2016;5(4):66–72. (in Russian)
3. Balanova Y.A., Shalnova S.A., Imaeva A.E. et al. Prevalence, awareness, treatment and control of hypertension in Russian Federation (data of observational ESSE- RF-2 study). Rational Pharmacotherapy in Cardiology. 2019;15(4):450–466. (in Russian) DOI: 10.20996/1819-6446-2019-15-4-450-466
4. Balanova Yu.A., Shalnova S.A., Deev A.D. et al. Obesity in Russian population — prevalence and association with the non-communicable diseases risk factors. Russian Journal of Cardiology. 2018;(6):123–130. (in Russian). DOI: 10.15829/1560-4071-2018-6-123-130
5. Dedov I.I., Shestakova M.V., Vikulova O.K. et al. Epidemiological characteristics of diabetes mellitus in the Russian Federation: clinical and statistical analysis according to the Federal diabetes register data of 01.01.2021. Diabetes mellitus. 2021;24(3):204–221. (in Russian). DOI: 10.14341/DM12759
6. Tsygankova O.V., Veretyuk V.V. Phenotypic clusters in heart failure with preserved and mid-range ejection fraction: new data and perspectives. Russian Journal of Cardiology. 2021;26(4):81–92. (in Russian). DOI: 10.15829/1560-4071-2021-4436
7. Aggarwal R., Yeh R.W., Joynt Maddox K.E., Wadhera R.K. Cardiovascular risk factor prevalence, treatment, and control in US adults aged 20 to 44 years, 2009 to March 2020. JAMA. 2023;329(11):899—909. DOI: 10.1001/jama.2023.2307
8. Wilmot K.A., O'Flaherty M., Capewell S. et al. Coronary heart disease mortality declines in the United States from 1979 through 2011: evidence for stagnation in young adults, especially women. Circulation. 2015;132(11):997–1002. DOI: 10.1161/ CIRCULATIONAHA.115.015293
9. GBD 2019 Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1223–1249. DOI: 10.1016/S0140-6736(20)30752-2
10. GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204–1222. DOI: 10.1016/S0140-6736(20)30925-9
11. Platonov D.Yu., Kostjuk T.A., Brandt A.I., Tsygankova O.V. Determinants of preventive behavior regarding cardiovascular diseases and risk factors in patients with essential hypertension and chronic ischemic heart disease. Rational Pharmacotherapy in Cardiology. 2011;7(6):718–724. (in Russian).
12. Sacramento-Pacheco J., Duarte-Clíments G., Gómez-Salgado J. et al. Cardiovascular risk assessment tools: a scoping review. Aust. Crit. Care. 2019;32(6):540–559. DOI: 10.1016/j.aucc.2018.09.008
13. Wilkins J.T., Karmali K.N., Huffman M.D. et al. Data resource profile: the cardiovascular disease lifetime risk pooling project. Int. J. Epidemiol. 2015;44(5):1557–1564. DOI: 10.1093/ije/dyv150
14. Khan S.S., Ning H., Wilkins J.T. et al. Association of body mass index with lifetime risk of cardiovascular disease and compression of morbidity. JAMA Cardiol. 2018;3(4):280–287. DOI: 10.1001/jamacardio. 2018.0022
15. Andersson C., Johnson A.D., Benjamin E.J. et al. 70-year legacy of the Framingham Heart Study. Nat. Rev. Cardiol. 2019;16(11):687–698. DOI: 10.1038/s41569-019-0202-5
16. Rossello X., Dorresteijn J.A., Janssen A. et al. Risk prediction tools in cardiovascular disease prevention: a report from the ESC Prevention of CVD Programme led by the European Association of Preventive Cardiology (EAPC) in collaboration with the Acute Cardiovascular Care Association (ACCA) and the Association of Cardiovascular Nursing and Allied Professions (ACNAP). Eur. J. Prev. Cardiol. 2019;26(14):1534–1544. DOI: 10.1177/2047487319846715
17. D'Agostino R.B. Sr, Vasan R.S., Pencina M.J. et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008;117(6):743–753. DOI: 10.1161/CIRCULATIONAHA.107.699579
18. Pencina M.J., D'Agostino R.B. Sr, Larson M.G. et al. Predicting the 30-year risk of cardiovascular disease: the framingham heart study. Circulation. 2009;119(24):3078–3084. DOI: 10.1161/CIRCULATIONAHA.108.816694
19. Rospleszcz S., Starnecker F., Linkohr B. et al. Validation of the 30-year Framingham Risk Score in a German population-based cohort. Diagnostics (Basel). 2022;12(4):965. DOI: 10.3390/diagnostics12040965
20. Piepoli M.F., Hoes A.W., Agewall S. et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur. Heart J. 2016;37(29):2315– 2381. DOI: 10.1093/eurheartj/ehw106
21. SCORE2 working group and ESC Cardiovascular risk collaboration. SCORE2 risk prediction algorithms: new models to estimate 10-year risk of cardiovascular disease in Europe. Eur. Heart J. 2021;42(25):2439–2454. DOI: 10.1093/eurheartj/ehab309
22. Visseren F.L.J., Mach F., Smulders Y.M. et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur. Heart J. 2021;42(34):3227–3337. DOI: 10.1093/eurheartj/ehab484
23. Arnett D.K., Blumenthal R.S., Albert M.A. et al. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: a Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;140(11):e596-e646. DOI: 10.1161/CIR.0000000000000678
24. JBS3 Board. Joint British Societies' consensus recommendations for the prevention of cardiovascular disease (JBS3). Heart. 2014;100 Suppl 2:ii1–ii67. DOI: 10.1136/heartjnl-2014-305693
25. Pasternak R.C. Report of the Adult Treatment Panel III: the 2001 National Cholesterol Education Program guidelines on the detection, evaluation and treatment of elevated cholesterol in adults. Cardiol. Clin. 2003;21(3):393–398. DOI: 10.1016/s0733-8651(03)00080-8
26. Hippisley-Cox J., Coupland C., Brindle P. Development and validation of QRISK3 risk prediction algorithms to estimate future risk of cardiovascular disease: prospective cohort study. BMJ. 2017;357:j2099. DOI: 10.1136/bmj.j2099
27. O'Callaghan C.J., Rong P., Goh M.Y. National guidelines for the management of absolute cardiovascular disease risk. Med. J. Aust. 2014;200(8):454–456. DOI: 10.5694/mja13.11162
28. Mu X., Wu A., Hu H. et al. Assessment of QRISK3 as a predictor of cardiovascular disease events in type 2 diabetes mellitus. Front. Endocrinol (Lausanne). 2022;13:1077632. DOI: 10.3389/fendo.2022.1077632
29. Powell-Wiley T.M., Poirier P., Burke L.E. et al. Obesity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2021;143(21):e984–e1010. DOI: 10.1161/CIR.0000000000000973
30. Krakauer N.Y., Krakauer J.C. A new body shape index predicts mortality hazard independently of body mass index. PLoS One. 2012;7(7):e39504. DOI: 10.1371/journal.pone.0039504
31. Fang H., Berg E., Cheng X., Shen W. How to best assess abdominal obesity. Curr. Opin. Clin. Nutr. Metab. Care. 2018;21(5):360–365. DOI: 10.1097/MCO.0000000000000485
32. Gažarová M., Galšneiderová M., Mečiarová L. Obesity diagnosis and mortality risk based on a body shape index (ABSI) and other indices and anthropometric parameters in university students. Rocz. Panstw. Zakl. Hig. 2019;70(3):267–275. DOI: 10.32394/rpzh.2019.0077
33. Jayedi A., Soltani S., Zargar M.S. et al. Central fatness and risk of all cause mortality: systematic review and dose-response meta-analysis of 72 prospective cohort studies. BMJ. 2020;370:m3324. DOI: 10.1136/ bmj.m3324
Review
For citations:
Veretyuk V.V., Tsygankova O.V., Ametov A.S. Evaluation of a Cardiovascular Risk in Young Men. Title. 2023;22(4):7-17. (In Russ.) https://doi.org/10.31550/1727-2378-2023-22-4-7-17