Relationship between heart age and cardiometabolic risk scales in 139634 Spanish workers

Introduction: Cardiometabolic diseases are highly prevalent worldwide and are responsible for high morbidity and mortality. Cardiovascular risk (CVR) is usually determined from scales that assess the probability of occurrence in a given period. Currently, other CVR scales have been developed that assess the aging of both the heart and blood vessels. The aim of this study is to assess the association between some cardiometabolic risk scales and heart age. Methods: Descriptive study in 139634 Spanish workers in which CVR was determined by applying the age of the heart and also different cardiometabolic risk scales such as atherogenic dyslipidemia, lipid triad, metabolic syndrome, diabesity, hypertriglyceridemic waist circumference, and risk of type 2 diabetes. Results: Heart age values are higher in people with high cardiometabolic risk applying all scales. The risk of presenting moderate or high values of heart age is higher among people with high cardiometabolic risk, especially in case of lipid triad and high values of the Findrisk test. The value of the Findrisk test for predicting moderate vascular age is low, whereas for high heart age the value of this test is high. Conclusions: There is a good association between heart age and the cardiometabolic risk scales analyzed. The predictive value of the Findrisk test is low for moderate heart age and high for high heart age.