Global cardiovascular risk evaluation: pattern of algorithm use and risk modification in 'real life'.

Area of Science:

• Cardiology
• Public Health
• General Practice

Background:

• Global cardiovascular risk (CVR) calculation is recommended but underused in clinical practice.
• Limited data exist on the real-world application and utility of CVR assessment tools.

Purpose of the Study:

• To determine the utilization rate of CVR algorithms in Italian general practice.
• To characterize patients evaluated for CVR.
• To assess the outcomes following CVR evaluation.

Main Methods:

• Utilized the Health Search/CSD Longitudinal Patient Database (2004-2008).
• Included data from approximately 800 general practitioners (GPs).
• Extracted demographic, clinical, and CVR data for 438,922 individuals aged 35-69.

Main Results:

• In 2008, 17.9% of eligible patients had their CVR calculated.
• Re-evaluation rates varied by risk level: 61.1% (high), 43.8% (moderate), 27.2% (low).
• Mean CVR decreased over 4 years (2.25%, P < 0.01), particularly in moderate and high-risk groups.

Conclusions:

• CVR calculation is underutilized by GPs, with a focus on high-risk individuals.
• The algorithm appears effective in reducing CVR among moderate and high-risk patients.