scholarly journals Absolute risk assessment for guiding cardiovascular risk management in a chest pain clinic

2021 ◽  
Author(s):  
J Andrew Black ◽  
Julie A Campbell ◽  
Serena Parker ◽  
James E Sharman ◽  
Mark R Nelson ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Risk Management ◽  
Cardiovascular Risk ◽  
Chest Pain ◽  
Absolute Risk ◽  
Pain Clinic ◽  
Cardiovascular Risk Management ◽  
Absolute Risk Assessment

An absolute risk-guided approach to cardiovascular risk management within a chest pain clinic: the ARCPAC randomized trial

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J.A Black ◽  
J Campbell ◽  
J Sharman ◽  
M Nelson ◽  
S Parker ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Cardiovascular Risk ◽  
Chest Pain ◽  
Smoking Status ◽  
Absolute Risk ◽  
Pain Clinic ◽  
Risk Scores ◽  
Cardiovascular Risk Management ◽  
Risk Factor Management

Abstract Background The majority of patients attending chest pain clinics are found not to have a cardiac cause of their symptoms, but have a high burden of cardiovascular risk factors that may be opportunistically addressed. Absolute risk calculators are recommended to guide risk factor management, although it is uncertain to what extent these calculations may assist with patient engagement in risk factor modification. Purpose We sought to determine the usefulness of a proactive, absolute risk-based approach, to guide opportunistic cardiovascular risk factor management within a chest pain clinic. Methods This was a prospective, open-label, blinded-endpoint study in 192 enhanced risk (estimated 5-year risk ≥8%, based on Australian Absolute Risk Calculator) patients presenting to a tertiary hospital chest pain clinic. Patients were randomized to best practice usual care, or intervention with development of a proactive cardiovascular risk management strategy framed around a discussion of the individual's absolute risk. Patients found to have a cardiac cause of symptoms were excluded as they constitute a secondary prevention population. Primary outcome was 5-year absolute cardiovascular risk score at minimum 12 months follow up. Secondary outcomes were individual modifiable risk factors (lipid profile, blood pressure, smoking status). Results 192 people entered the study; 100 in the intervention arm and 92 in usual care. There was no statistical difference between the two groups' baseline sociodemographic and clinical variables. The intervention group showed greater reduction in 5-year absolute risk scores (difference −2.77; p<0.001), and more favourable individual risk factors, although only smoking status and LDL cholesterol reached statistical significance (table). Conclusion An absolute risk-guided proactive risk factor management strategy employed opportunistically in a chest pain clinic significantly improves 5-year cardiovascular risk scores. Funding Acknowledgement Type of funding source: Foundation. Main funding source(s): Tasmanian Community Fund

Assessment of six cardiovascular risk calculators in Mexican mestizo patients with rheumatoid arthritis according to the EULAR 2015/2016 recommendations for cardiovascular risk management

2017 ◽  
Vol 36 (6) ◽  
pp. 1387-1393 ◽  
Author(s):  
Dionicio A. Galarza-Delgado ◽  
Jose R. Azpiri-Lopez ◽  
Iris J. Colunga-Pedraza ◽  
Jesus A. Cardenas-de la Garza ◽  
Raymundo Vera-Pineda ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Management ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Management ◽  
Mexican Mestizo

scholarly journals Sex Differences in Type-2 Diabetes: Implications for Cardiovascular Risk Management

2017 ◽  
Vol 23 (10) ◽  
pp. 1471-1476 ◽  
Author(s):  
Valeria Raparelli ◽  
Susanna Morano ◽  
Flavia Franconi ◽  
Andrea Lenzi ◽  
Stefania Basili
Keyword(s):  
Type 2 Diabetes ◽  
Risk Management ◽  
Sex Differences ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Management
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