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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

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Cardiovascular Risk Prediction using JBS3 Tool: A Kerala based Study.

Paulin Paul¹, Noel George², B Priestly Shan³

¹Sathyabama Institute of Science and Technology, Chennai, India.

Current Medical Imaging

|October 28, 2020

Summary

This study assessed cardiovascular risk in Kerala, India, finding a significant portion of the population faces high 10-year and lifetime risks. Early interventions are crucial for preventing cardiovascular disease mortality.

Keywords:

10-year CVD risk CVD Kerala Cardiovascular disease JBS3 lifetime CVD risk risk stratification

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Area of Science:

Cardiology and Public Health
Epidemiological Studies of Cardiovascular Disease

Background:

The Joint British Society calculator 3 (JBS3) cardiovascular risk assessment tool's accuracy may differ across Indian states.
This accuracy has not been previously verified in the South Indian population of Kerala.

Purpose of the Study:

To evaluate cardiovascular risk estimation using traditional risk factors in the Kerala population.
To assess the prevalence of 10-year and lifetime cardiovascular risk categories within this demographic.

Main Methods:

A cross-sectional study of 977 individuals aged 30-80 years from Ernakulum district, Kerala.
Utilized standard risk categories for 10-year (Low <7.5%, Intermediate ≥7.5% to <20%, High ≥20%) and lifetime (Low ≤39%, High ≥40%) risk.
Employed Chi-square tests and multivariate logistic regression for statistical analysis.

Main Results:

The study population (mean age 52.56±11.43 years) showed 35.9% with high 10-year risk and 58.9% with high lifetime risk.
A notable 25.0% were in the intermediate 10-year risk category, with many reclassifying to high lifetime risk.
Statistical analysis indicated a good model fit (Hosmer-Lemeshow test).

Conclusions:

Risk stratification using traditional factors is essential for cardiovascular disease prevention in Kerala.
Identifying intermediate-risk individuals allows for targeted interventions to prevent progression to high lifetime risk.
Proactive therapeutic and lifestyle modifications based on risk prediction can significantly reduce cardiovascular disease mortality.