EDITORIALS
Pulling it all together: William
B. Kannel,
MD, and Philip
Changing A. Wolf,
MD. Boston,
From the BU-Framingham Study, Boston University School of Medicine. Received for publication May 14, 1991; accepted July 1, 1991. Reprint requests: William B. Kannel, MD, BU-Framingham Study, 5 Thurber St., Boston, MA 01701. 411133672
I. Coronary heart disease risk factor prediction
Table 1. Find
points
the cardiovascular Muss.
Prevention of cardiovascular disease can be approached from the standpoint of public health measures to alter the ecology to one more favorable to cardiovascular health, health education to enable the
chart
for each risk factor Age (If female)
Age 30 31 32 33 34 35 36 37 38 39 40 41 42-43
Age
-12 -11 -9 -8 -6 -5 -4 -3 -2 -1
44 45-46 47-48 49-50 51-52 53-55 56-60 61-67 68-74
Pts
Pts
Age
Pts
3 4 5 6 7 8 9 10 11
30 31 32-33 34 35-36 37-38 39 40-41 42-43 44-45 46-47 48-49 50-51
-2 -1
52-54 55-56 57-59 60-61 62-64 65-67 68-70 71-73 74
11 12 13 14 15 16 17 18 19
7 6 5 4 3 2 1 0 -1 -2 -3 -4 -5 -6 -7
points
for all risk
Systolic
0 1 2 3 4 5 6 7 8 9 10
blood pressure
Total-C
Pts
SBP
Pts
139-151 152-166 167-182 183-199 200-219 220-239 240-262 263-288 289-315 316-330
-3 -2 -1
98-104 105-112 113-120 121-129 130-139 140-149 150-160 161-172 173-185
-2 -1
0 1 2 3 4 5 6
Pts
Other Cigarettes Diabetic-male Diabetic-female ECG-LVH
0 1 2 3 4 5 6
4 3 6 9
0 pts for each NO
factors
-I+ HDL-C Total C Age NOTE: Minus points subtract from total. Reproduced 264
Age
Total-Cholesterol
25-26 27-29 30-32 33-35 36-38 39-42 43-46 47-50 51-55 56-60 61-66 67-73 74-80 81-87 88-96
Pts, Patients;
Pts
0 1 2
HDL-Cholesterol
2. Sum
Age (If male)
PtS
HDL-C
outlook
+
HDL, high-density lipoprotein; C, cholesterol; with permission. “Risk Factor Prediction Kit,”
+ SBP
+ Smoker
+ Diabetes
SBP, systolic blood pressure; ECG, electrocardiogram; 1990. Copyright, American Heart Association,
ECG-LVH=
LVH,
left ventricular
Point
total
hypertrophy
Volume Number
123 1
Risk assessment profiles for coronary disease
public to make necessary changes on their own behalf, and preventive medicine for persons who are at high risk. The high prevalence of cardiovascular risk factors in the general population and the high incidence and lethal nature of cardiovascular disease require the population approach if major inroads are to be made. Preventive medicine is best directed at high-risk candidates who require individualized and professional management. For the latter, multivariate risk assessment is necessary to select candidates for cardiovascular disease and to judge the possible efficacy of treatment. Risk factors tend to cluster, making single risk factor intervention inefficient.
3. Look
up risk
corresponding
to point
total
Pts
5 yr
10 yr
Pts
5 Yr
sl
Pulling it all together: William
B. Kannel,
MD, and Philip
Changing A. Wolf,
MD. Boston,
From the BU-Framingham Study, Boston University School of Medicine. Received for publication May 14, 1991; accepted July 1, 1991. Reprint requests: William B. Kannel, MD, BU-Framingham Study, 5 Thurber St., Boston, MA 01701. 411133672
I. Coronary heart disease risk factor prediction
Table 1. Find
points
the cardiovascular Muss.
Prevention of cardiovascular disease can be approached from the standpoint of public health measures to alter the ecology to one more favorable to cardiovascular health, health education to enable the
chart
for each risk factor Age (If female)
Age 30 31 32 33 34 35 36 37 38 39 40 41 42-43
Age
-12 -11 -9 -8 -6 -5 -4 -3 -2 -1
44 45-46 47-48 49-50 51-52 53-55 56-60 61-67 68-74
Pts
Pts
Age
Pts
3 4 5 6 7 8 9 10 11
30 31 32-33 34 35-36 37-38 39 40-41 42-43 44-45 46-47 48-49 50-51
-2 -1
52-54 55-56 57-59 60-61 62-64 65-67 68-70 71-73 74
11 12 13 14 15 16 17 18 19
7 6 5 4 3 2 1 0 -1 -2 -3 -4 -5 -6 -7
points
for all risk
Systolic
0 1 2 3 4 5 6 7 8 9 10
blood pressure
Total-C
Pts
SBP
Pts
139-151 152-166 167-182 183-199 200-219 220-239 240-262 263-288 289-315 316-330
-3 -2 -1
98-104 105-112 113-120 121-129 130-139 140-149 150-160 161-172 173-185
-2 -1
0 1 2 3 4 5 6
Pts
Other Cigarettes Diabetic-male Diabetic-female ECG-LVH
0 1 2 3 4 5 6
4 3 6 9
0 pts for each NO
factors
-I+ HDL-C Total C Age NOTE: Minus points subtract from total. Reproduced 264
Age
Total-Cholesterol
25-26 27-29 30-32 33-35 36-38 39-42 43-46 47-50 51-55 56-60 61-66 67-73 74-80 81-87 88-96
Pts, Patients;
Pts
0 1 2
HDL-Cholesterol
2. Sum
Age (If male)
PtS
HDL-C
outlook
+
HDL, high-density lipoprotein; C, cholesterol; with permission. “Risk Factor Prediction Kit,”
+ SBP
+ Smoker
+ Diabetes
SBP, systolic blood pressure; ECG, electrocardiogram; 1990. Copyright, American Heart Association,
ECG-LVH=
LVH,
left ventricular
Point
total
hypertrophy
Volume Number
123 1
Risk assessment profiles for coronary disease
public to make necessary changes on their own behalf, and preventive medicine for persons who are at high risk. The high prevalence of cardiovascular risk factors in the general population and the high incidence and lethal nature of cardiovascular disease require the population approach if major inroads are to be made. Preventive medicine is best directed at high-risk candidates who require individualized and professional management. For the latter, multivariate risk assessment is necessary to select candidates for cardiovascular disease and to judge the possible efficacy of treatment. Risk factors tend to cluster, making single risk factor intervention inefficient.
3. Look
up risk
corresponding
to point
total
Pts
5 yr
10 yr
Pts
5 Yr
sl
