The new "intermediate risk" group: A comparative analysis of the new 2013 ACC/AHA risk assessment guidelines versus prior guidelines in men

Michael Blaha, Zeina A. Dardari, Roger S Blumenthal, Seth Martin, Khurram Nasir, Mouaz H. Al-Mallah

Research output: Contribution to journalArticle

Abstract

Background: The 2013 ACC/AHA Report on the Assessment of Cardiovascular (CVD) Risk redefined "intermediate risk". We sought to critically compare the intermediate risk groups identified by prior guidelines and the new ACC/AHA guidelines. Methods: We analyzed data from 30,005 adult men free of known CVD from a large, multi-ethnic study of middle-aged adults. The Framingham Risk Score was calculated using published equations, and CVD risk was calculated using the new ACC/AHA Pooled Cohort Equations Risk Estimator. We first compared the size and characteristics of the intermediate risk group identified by the old (ATP III, 10-20% 10-year CHD risk) and new guidelines (5-7.4% 10-year CVD risk). We then defined time-to-high-risk as the length of time an individual patient resides in the intermediate risk group before progressing to high risk status based on advancing age alone. Results: The mean age of the study population was 53±13 years, and 24% were African-American. Patients identified as intermediate risk by the new ACC/AHA Guidelines were younger and more likely to be African-American and have lower risk factor burden (all p

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalAtherosclerosis
Volume237
Issue number1
DOIs
StatePublished - Nov 1 2014

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Guidelines
African Americans
Adenosine Triphosphate

Keywords

  • Guidelines
  • Primary prevention
  • Risk prediction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

The new "intermediate risk" group : A comparative analysis of the new 2013 ACC/AHA risk assessment guidelines versus prior guidelines in men. / Blaha, Michael; Dardari, Zeina A.; Blumenthal, Roger S; Martin, Seth; Nasir, Khurram; Al-Mallah, Mouaz H.

In: Atherosclerosis, Vol. 237, No. 1, 01.11.2014, p. 1-4.

Research output: Contribution to journalArticle

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