Circulation: Cardiovascular Quality and Outcomes, Journal of the American Heart Association published a review of the 2007 update to the AHA guidelines for cardiovascular disease prevention in women by assigning 161,808 Women’s Health Initiative participants ages 50 to 79 to risk categories as perscribed in the guidelines, and then analyzed clinical event rates within and between strata.
- AHA guidelines predicted coronary events with accuracy similar to current Framingham risk categories
- AHA guidelines predicted coronary events less well than proposed Framingham10-year risk categories of less than 5%, 5% to 20%, and more than 20%
- Risk stratification as proposed in the 2007 AHA guideline is simple, accessible to patients and providers, and identifies cardiovascular risk with accuracy similar to that of the current Framingham algorithm
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