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Panoptic total cardiovascular risk prediction using all predictors versus optimized risk assessment using variable
Benjamin D Horne1, Stacey Knight, Heidi T May
1Intermountain Heart Institute, Intermountain Medical Center, Salt Lake City, UT 84107, USA. benjamin.horne@imail.org
Insights
Cardiovascular risk scores help stratify patient risk for heart disease. However, their clinical adoption lags behind development, highlighting a need for better implementation strategies.
Area of Science:
- Cardiology
- Preventive Medicine
- Health Informatics
Background:
- Cardiovascular disease is a leading cause of death globally.
- Numerous cardiovascular risk scores exist for risk stratification.
- Current clinical use of risk scores is limited.
Purpose of the Study:
- To review the current landscape of cardiovascular risk scores.
- To identify challenges in clinical implementation.
- To suggest future research directions for effective utilization.
Main Methods:
- Literature review of existing cardiovascular risk scores.
- Analysis of factors influencing clinical adoption.
- Discussion of implementation barriers and facilitators.
Main Results:
- A wide array of risk scores are available, utilizing predictors like age, BMI, blood pressure, and cholesterol.
- Clinical practice lags behind the rapid development of new risk scores.
- Effective and efficient clinical integration remains a challenge.
Conclusions:
- Cardiovascular risk scores are valuable tools for risk stratification.
- Bridging the gap between risk score development and clinical practice is crucial.
- Future research must prioritize optimizing the clinical utility of these scores.
Abstract:
Cardiovascular disease remains the primary cause of mortality and morbidity in the developed world. Risk scores can provide clinical risk stratification and many exist for use in cardiovascular disease prevention and treatment. Cardiovascular risk scores predict mortality, coronary heart disease and other vascular disease using risk predictors such as patient age, sex, BMI, smoking history, cholesterol level, blood pressure, glucose level or diabetes diagnosis, family history of cardiovascular disease and creatinine. While the risk scores in existence are excellent for risk stratification, actual use in a clinical environment is lagging behind the rate of new risk score creation. Future research should focus on how to utilize risk scores most effectively and efficiently in clinical practice.
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