Cardiovascular risk assessment tools in Asia

被引：28

作者：

Zhang, Yuqing ^{[1
]}

Miao, Huanhuan ^{[1
]}

Chia, Yook-Chin ^{[2
,3
]}

Buranakitjaroen, Peera ^{[4
]}

Siddique, Saulat ^{[5
]}

Shin, Jinho ^{[6
]}

Turana, Yuda ^{[7
]}

Park, Sungha ^{[8
]}

Tsoi, Kelvin ^{[9
]}

Chen, Chen-Huan ^{[10
,11
,12
,13
]}

Cheng, Hao-Min ^{[10
,11
,12
,13
,14
]}

Li, Yan ^{[15
,16
]}

Huynh Van Minh ^{[17
]}

Nagai, Michiaki ^{[18
]}

Nailes, Jennifer ^{[19
,20
]}

Sison, Jorge ^{[21
]}

Soenarta, Arieska Ann ^{[22
]}

Sogunuru, Guru Prasad ^{[23
,24
]}

Sukonthasarn, Apichard ^{[25
]}

Tay, Jam Chin ^{[26
]}

Teo, Boon Wee ^{[27
]}

Verma, Narsingh ^{[28
]}

Wang, Tzung-Dau ^{[29
,30
,31
]}

Hoshide, Satoshi ^{[32
]}

Kario, Kazuomi ^{[32
]}

Wang, Jiguang ^{[33
]}

机构：

[1] Chinese Acad Med Sci & Peking Union Med Coll, Fu Wai Hosp, Dept Cardiol, 167 Beilishilu, Beijing 100037, Peoples R China

[2] Sunway Univ, Sch Healthcare & Med Sci, Dept Med Sci, Bandar Sunway, Selangor Darul, Malaysia

[3] Univ Malaya Kuala, Fac Med, Dept Primary Care Med, Lumpur, Malaysia

[4] Mahidol Univ, Siriraj Hosp, Fac Med, Dept Med,Div Hypertens, Bangkok, Thailand

[5] Punjab Med Ctr, Lahore, Pakistan

[6] Hanyang Univ, Med Ctr, Fac Cardiol Serv, Seoul, South Korea

[7] Atma Jaya Catholic Univ Indonesia, Sch Med & Hlth Sci, Jakarta, Indonesia

[8] Yonsei Hlth Syst, Cardiovasc Hosp, Div Cardiol, Seoul, South Korea

[9] Chinese Univ Hong Kong, JC Sch Publ Hlth & Primary Care, Shatin, Hong Kong, Peoples R China

[10] Natl Yang Ming Univ, Sch Med, Inst Publ Hlth, Taipei, Taiwan

[11] Natl Yang Ming Univ, Sch Med, Community Med Res Ctr, Taipei, Taiwan

[12] Taipei Vet Gen Hosp, Dept Med, Div Cardiol, Taipei, Taiwan

[13] Natl Yang Ming Univ, Sch Med, Fac Med, Taipei, Taiwan

[14] Taipei Vet Gen Hosp, Ctr Evidence Based Med, Dept Med Educ, Taipei, Taiwan

[15] Shanghai Jiao Tong Univ, Ctr Epidemiol Studies & Clin Trials, Shanghai Inst Hypertens, Ruijin Hosp,Shanghai Key Lab Hypertens,Sch Med, Shanghai, Peoples R China

[16] Shanghai Jiao Tong Univ, Shanghai Inst Hypertens, Shanghai Key Lab Hypertens, Sch Med,Ruijin Hosp,Ctr Vasc Evaluat, Shanghai, Peoples R China

[17] Hue Univ, Univ Med & Pharm, Dept Internal Med, Hue City, Vietnam

[18] Hiroshima City Asa Hosp, Dept Internal Med, Gen Med & Cardiol, Hiroshima, Japan

[19] Univ East Ramon Magsaysay Mem Med Ctr Inc, Dept Prevent & Community Med, Quezon City, Philippines

[20] Univ East Ramon Magsaysay Mem Med Ctr Inc, Res Inst Hlth Sci, Quezon City, Philippines

[21] Med Ctr Manila, Sect Cardiol, Dept Med, Manila, Philippines

[22] Univ Indonesia, Natl Cardiovasc Ctr, Fac Med, Dept Cardiol & Vasc Med,Harapan Kita, Jakarta, Indonesia

[23] MIOT Int Hosp, Chennai, Tamil Nadu, India

[24] Kathmandu Univ, Coll Med Sci, Bharatpur, Nepal

[25] Chiang Mai Univ, Fac Med, Dept Internal Med, Cardiol Div, Chiang Mai, Thailand

[26] Tan Tock Seng Hosp, Dept Gen Med, Singapore, Singapore

[27] Yong Loo Lin Sch Med, Dept Med, Div Nephrol, Singapore, Singapore

[28] King Georges Med Univ, Dept Physiol, Lucknow, Uttar Pradesh, India

[29] Natl Taiwan Univ Hosp, Cardiovasc Ctr, Dept Internal Med, Taipei, Taiwan

[30] Natl Taiwan Univ Hosp, Div Cardiol, Taipei, Taiwan

[31] Natl Taiwan Univ Hosp, Dept Internal Med, Div Hosp Med, Taipei, Taiwan

[32] Jichi Med Univ, Sch Med, Dept Med, Div Cardiovasc Med, Shimotsuke, Tochigi, Japan

[33] Shanghai Jiao Tong Univ, Ctr Epidemiol Studies & Clin Trials, Ruijin Hosp,Shanghai Inst Hypertens, Shanghai Key Lab Hypertens,Sch Med,Dept Hypertens, Shanghai, Peoples R China

来源：

JOURNAL OF CLINICAL HYPERTENSION | 2022年 / 24卷 / 04期

关键词：

Asian patients; cardiovascular disease; hypertension-general; risk assessment; HEART-ASSOCIATION; AMERICAN-COLLEGE; DISEASE; PREDICTION; HYPERTENSION; VALIDATION; SCORE; DERIVATION; GUIDELINE;

D O I：

10.1111/jch.14336

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

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.

引用

页码：369 / 377

页数：9

共 33 条

[11] Derivation and validation of QRISK, a new cardiovascular disease risk score for the United Kingdom: prospective open cohort study [J].

Hippisley-Cox, Julia ;

Coupland, Carol ;

Vinogradova, Yana ;

Robson, John ;

May, Margaret ;

Brindle, Peter .

BMJ-BRITISH MEDICAL JOURNAL, 2007, 335 (7611) :136-141

[12] Development and validation of QRISK3 risk prediction algorithms to estimate future risk of cardiovascular disease: prospective cohort study [J].

Hippisley-Cox, Julia ;

Coupland, Carol ;

Brindle, Peter .

BMJ-BRITISH MEDICAL JOURNAL, 2017, 357

[13]

Hlatky Mark A, 2009, Circulation, V119, P2408, DOI 10.1161/CIRCULATIONAHA.109.192278

[14] Long-term incidence and risk factors of cardiovascular events in Asian populations: systematic review and meta-analysis of population-based cohort studies [J].

Irawati, Sylvi ;

Wasir, Riswandy ;

Schmidt, Amand Floriaan ;

Islam, Atiqul ;

Feenstra, Talitha ;

Buskens, Erik ;

Wilffert, Bob ;

Hak, Eelko .

CURRENT MEDICAL RESEARCH AND OPINION, 2019, 35 (02) :291-299

[15] A Community-Based Intervention for Managing Hypertension in Rural South Asia [J].

Jafar, Tazeen H. ;

Gandhi, Mihir ;

De Silva, H. Asita ;

Jehan, Imtiaz ;

Naheed, Aliya ;

Finkelstein, Eric A. ;

Turner, Elizabeth L. ;

Morisky, Donald ;

Kasturiratne, Anuradhani ;

Khan, Aamir H. ;

Clemens, John D. ;

Ebrahim, Shah ;

Assam, Pryseley N. ;

Feng, Liang .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (08) :717-726

[16] South Asians: why are they at a higher risk for cardiovascular disease? [J].

Jain, Anjly ;

Puri, Rajeev ;

Nair, Devaki R. .

CURRENT OPINION IN CARDIOLOGY, 2017, 32 (04) :430-436

[17] A literature review of the cardiovascular risk-assessment tools: applicability among Asian population [J].

Liau, Siow Yen ;

Izham, M. I. Mohamed ;

Hassali, M. A. ;

Shafie, A. A. .

HEART ASIA, 2010, 2 (01) :15-18

[18]

Lin J.S., 2018, Nontraditional Risk Factors in Cardiovascular Disease Risk Assessment: A Systematic Evidence Report for the U.S. Preventive Services Task Force

[19] 2018 Chinese Guidelines for Prevention and Treatment of Hypertension-A report of the Revision Committee of Chinese Guidelines for Prevention and Treatment of Hypertension [J].

Liu, Li-Sheng .

JOURNAL OF GERIATRIC CARDIOLOGY, 2019, 16 (03) :182-+

[20] Estimating Longitudinal Risks and Benefits From Cardiovascular Preventive Therapies Among Medicare Patients The Million Hearts Longitudinal ASCVD Risk Assessment Tool: A Special Report From the American Heart Association and American College of Cardiology [J].

Lloyd-Jones, Donald M. ;

Huffman, Mark D. ;

Karmali, Kunal N. ;

Sanghavi, Darshak M. ;

Wright, Janet S. ;

Pelser, Colleen ;

Gulati, Martha ;

Masoudi, Frederick A. ;

Goff, David C., Jr. .

CIRCULATION, 2017, 135 (13) :E793-+

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