Cardiovascular risk assessment tools in Asia.
Asian patients
cardiovascular disease
hypertension-general
risk assessment
Journal
Journal of clinical hypertension (Greenwich, Conn.)
ISSN: 1751-7176
Titre abrégé: J Clin Hypertens (Greenwich)
Pays: United States
ID NLM: 100888554
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
revised:
18
07
2021
received:
22
10
2020
accepted:
19
07
2021
pubmed:
5
1
2022
medline:
12
4
2022
entrez:
4
1
2022
Statut:
ppublish
Résumé
Cardiovascular disease (CVD) is becoming the most important burden to health care systems in most part of the world, especially in Asia. Aiming at identifying high risk individuals and tailoring preventive treatment, many cardiovascular risk assessment tools have been established and most of them were developed in Western countries. However, these cardiovascular risk assessment tools cannot be used interchangeably without recalibration because of the different risk factor profiles (ie, greater absolute burden of hypertension and lower level of total-cholesterol in Asians and higher prevalence of metabolic disorders in South Asians) and different CVD profiles (higher ratio of stroke/coronary heart disease in Asians) between Western and Asian populations. Original risk models such as Prediction for ASCVD Risk in China (China-PAR) and Japan Arteriosclerosis Longitudinal Study (JALS) score have been developed and well validated for specific countries, while most of countries/regions in Asia are using established models. Due to higher incidence of stroke in Asians, risk factors like hypertension should weigh more in cardiovascular risk assessment comparing with Western populations, but their actual proportions should be based on CVD profiles in specific countries/regions. The authors encourage the development of new cardiovascular risk assessment tools for Asians, if possible. Still, modifying established models with native epidemiological data of risk factor as well as CVD is acceptable in regions where health care resources are insufficient.
Identifiants
pubmed: 34981620
doi: 10.1111/jch.14336
pmc: PMC8989745
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
369-377Subventions
Organisme : Capital Medical Development Research Fund, Beijing, China
Informations de copyright
© 2021 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.
Références
Circulation. 2008 Feb 12;117(6):743-53
pubmed: 18212285
BMC Public Health. 2013 Jun 05;13:539
pubmed: 23734670
BMJ. 2007 Jul 21;335(7611):136
pubmed: 17615182
Circulation. 2014 Jun 24;129(25 Suppl 2):S49-73
pubmed: 24222018
Indian Heart J. 2016 May-Jun;68(3):391-8
pubmed: 27316504
N Engl J Med. 2020 Feb 20;382(8):717-726
pubmed: 32074419
Circulation. 2016 Nov 8;134(19):1430-1440
pubmed: 27682885
Eur Heart J. 2003 Jun;24(11):987-1003
pubmed: 12788299
Circulation. 2009 May 5;119(17):2408-16
pubmed: 19364974
Hypertension. 2018 Jun;71(6):e13-e115
pubmed: 29133356
Circulation. 2017 Mar 28;135(13):e793-e813
pubmed: 27815375
Eur Heart J. 2018 Sep 1;39(33):3021-3104
pubmed: 30165516
BMJ Open. 2018 Mar 6;8(3):e019335
pubmed: 29511013
J Geriatr Cardiol. 2019 Mar;16(3):182-241
pubmed: 31080465
Indian Heart J. 2017 Jul - Aug;69(4):458-463
pubmed: 28822511
Hypertens Res. 2019 Sep;42(9):1235-1481
pubmed: 31375757
Circulation. 2016 Aug 9;134(6):441-50
pubmed: 27502908
BMJ. 2008 Jun 28;336(7659):1475-82
pubmed: 18573856
J Epidemiol Community Health. 2007 Feb;61(2):115-21
pubmed: 17234869
Circulation. 1998 May 12;97(18):1837-47
pubmed: 9603539
Curr Opin Cardiol. 2017 Jul;32(4):430-436
pubmed: 28505046
Heart Asia. 2010 Jul 06;2(1):15-8
pubmed: 27325935
BMJ. 2017 May 23;357:j2099
pubmed: 28536104
J Hypertens. 2007 Aug;25(8):1578-82
pubmed: 17620952
J Hypertens. 2007 Jan;25(1):73-9
pubmed: 17143176
Circulation. 2008 Dec 16;118(25):2702-9
pubmed: 19106393
Circ J. 2013;77(7):1646-52
pubmed: 23803294
Hypertens Res. 2009 Dec;32(12):1119-22
pubmed: 19763133
J Clin Hypertens (Greenwich). 2022 Apr;24(4):369-377
pubmed: 34981620
Curr Med Res Opin. 2019 Feb;35(2):291-299
pubmed: 29920124
Hypertens Res. 2019 Apr;42(4):567-579
pubmed: 30760890