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Intermittent claudication. A risk profile from The Framingham Heart Study
J M Murabito1, R B D'Agostino, H Silbershatz
1Framingham Heart Study, MA 01701, USA. joanne@fram.nhlbi.nih.gov
Insights
Intermittent claudication (IC) is a key indicator of increased mortality risk. A new risk profile identifies individuals with IC using factors like age, cholesterol, and smoking, aiding early intervention.
Area of Science:
- Cardiovascular Medicine
- Epidemiology
Background:
- Intermittent claudication (IC) is a significant predictor of mortality and disability.
- Identifying individuals at risk for IC is crucial for preventative healthcare strategies.
Purpose of the Study:
- To develop a risk profile for intermittent claudication (IC).
- To identify individuals at increased risk for IC using established risk factors.
Main Methods:
- Utilized 38-year follow-up data from the Framingham Heart Study cohort.
- Developed a risk profile incorporating age, sex, serum cholesterol, hypertension, smoking, diabetes, and coronary heart disease.
- Employed pooled logistic regression to calculate IC probability based on risk factor levels.
Main Results:
- A total of 381 men and women experienced intermittent claudication (IC).
- Key risk factors identified include age, sex, elevated cholesterol, hypertension, smoking, diabetes, and existing coronary heart disease.
- The developed profile effectively associated these factors with increased IC risk.
Conclusions:
- The intermittent claudication (IC) risk profile enables physicians to identify high-risk patients during routine visits.
- The profile facilitates patient education on modifiable risk factors, emphasizing smoking cessation and blood pressure control.
- Enhanced adherence to risk factor modification strategies holds potential for improving patient survival rates.
Background:
Intermittent claudication identifies persons at increased risk for death and disability.
Methods And Results:
Using 38-year follow-up data for the original cohort in the Framingham Heart Study, we developed an intermittent claudication risk profile. Intermittent claudication occurred in a total of 381 men and women. Age, sex, serum cholesterol, hypertension, cigarette smoking, diabetes, and coronary heart disease were associated with an increased risk for claudication and were included in the profile. A pooled logistic regression model was used to compute the probability of intermittent claudication for specified levels of risk factors.
Conclusions:
The intermittent claudication risk profile allows physicians to identify high-risk individuals during a routine office visit and can be used to educate patients about modifiable risk factors, particularly smoking and blood pressure. Improved compliance with risk factor modification strategies may result in a beneficial impact on survival.
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