Review Article

Assessment of Cardiovascular Disease Risk in South Asian Populations

Table 3

Key characteristics of important cardiovascular risk algorithms.

Risk scoresCountry Population Risk factorsOutcomes

Framingham [26] 1976USAPopulation cohortAge, sex, smoking, SBP, total cholesterol, random blood sugar and urinary blood glucose, ECG-LVHDeaths from CHD and other fatal CVD, MI, ischaemic stroke, haemorrhagic stroke, angina pectoris, PAD, hypertensive CCF

Framingham [27] 1991USAPopulation cohort (original + offspring)Age, sex, smoking, SBP, DBP, TC, HDL, RBS, (offspring FBS) ECG-LVHDeath from CHD, MI, angina pectoris

Framingham [57] 1998USAPopulation cohort (original + offspring)Age, sex, smoking, SBP, DBP, TC or LDL, RBS, (offspring FBS) Death from CHD, MI, angina pectoris

Framingham [28] 2008USAPopulation cohort (original + offspring)Lab based-Age, sex, smoking, SBP, TC, HDL, FBS, antihypertensiveDeaths from CHD and other fatal CVD, MI, ischaemic stroke, haemorrhagic stroke, TIA, angina pectoris, PAD, hypertensive CCF
Non-lab-Age, sex, smoking, SBP, FBS, antihypertensive, BMI

UKPDS [40] 2001UK diabetes prevention trialPopulation cohortAge at diagnosis of diabetes, smoking, SBP, TC/HDL, HbA1c, ethnicityHard CHD

PROCAM [29] 2007GermanyOccupational cohortCHD-Age, sex, smoking, SBP, LDL, HDL, TG, FBS, family historyDeaths from CHD and MI
Stroke-Age, sex, smoking, SBP, FBSIschemic stroke, TIA

SCORE [38] 2003EuropePooled dataset of cohort studiesAge, sex, smoking, BP, TC or TC : HDLDeaths from CHD and other fatal CVD, fatal MI, fatal ischemic score, fatal PAD, fatal hypertensive CCF

ARIC [30] 2003USAPopulation cohortAge, sex, smoking, SBP, TC, HDL, FBS, antihypertensive, ethnicityDeath form CHD, MI, revascularisation intervention

Dubbo equation [58] 2003Australia Second Australian
national blood pressure study
Age, sex, smoking, SBP, antihypertensive medication, TC, HDL, diabetesCVD

Progetto coure [59] 2004ItalyPooled dataset of cohort studiesAge, sex, smoking, SBP, TC, HDL, FBS, antihypertensiveDeaths from CHD and other fatal CVD, MI, ischemic stroke, haemorrhagic stroke, revascularisation intervention

DECODE [60] 2005SwedenNational diabetes registryAge, state of glucose tolerance, FBS, smoking, SBP, TC, HDL, BMI, HRFatal CVD and first incident CVD

Riskard [61] 2005 ItalyPopulation cohortAge, sex, smoking, mean BP, HDL-C, non-HDL-C, diabetes, BMI, heart rateCVD, CHD and stroke

Zhang et al. [62] 2005ChinaOccupational cohortCHD-Age, smoking, SBP, TC, BMICHD
Ischemic stroke-age, smoking, SBP, TCIschaemic stroke
Haemorrhagic stroke-age, SBP, DBP, TCHaemorrhagic stroke

Strong Heart Study [36] 2006USAPopulation cohort-American IndianAge, sex, smoking, SBP, TC or LDL, HDL, FBS, antihypertensive, albuminuria Death from CHD, MI, angina pectoris, revascularisation interventions

USA-PRC [37] 2006ChinaPopulation cohortAge, sex, smoking, SBP, TC, FBS, BMIDeaths from CHD and other fatal CVD, MI, ischemic stroke

NIPPON data80 [63] 2006JapanPopulation cohortAge, sex, smoking, SBP, TC, blood glucoseFatal CHD, fatal stroke, and fatal CVD

ASSIGN [35] 2007UKPopulation cohortAge, sex, smoking, SBP, TC, HDL, diabetes, family history, socioeconomic status Deaths from CHD and other fatal CVD, MI, revascularisation intervention, hypertensive CCF and; admitted for MI, ischemic stroke, haemorrhagic stroke, TIA or angina pectoris

Reynolds women [33] 2007USAWomen’s health Study trial subjectsAge, smoking, self-reported BP, TC, HDL, HbA1c (if diabetic), family history, hs-CRPDeaths from CHD and other fatal CVD, MI, ischaemic stroke, revascularisation intervention

Reynolds men [34] 2008USAPhysician health study trial subjectsAge, smoking, Self-reported BP, TC, HDL, diabetics excluded in baseline, family history, hs-CRPDeaths from CHD and other fatal CVD, MI, stroke, revascularisation interventions

Personal heart [39] men 2007USAPopulation cohortMen age, smoking, previous diagnosis of HTN, previous diagnosis of hypercholesterolemia, previous diagnosis of diabetes, family history, physical activity
Women age, smoking, previous diagnosis of hypertension, previous diagnosis of hypercholesterolemia, previous diagnosis of diabetes, BMI
Death from CHD, MI, revascularisation intervention

QRISK [31] 2007UKElectronic medical databaseAge, sex, smoking, SBP, TC : HDL, diabetics excluded in baseline, antihypertensives, BMI, family history, townsendDeaths from CHD and other fatal CVD, MI, stroke, TIA, angina pectoris

QRISK2 [32] 2008UKElectronic medical databaseAge, sex, smoking, SBP, TC : HDL, FBS, antihypertensive, BMI, ethnicity, family history, townsend, rheumatoid arthritis, chronic renal disease, atrial fibrillationDeaths from CHD and other fatal CVD, MI, ischaemic stroke, TIA, angina pectoris

NHEFS [2] 2008USAPopulation cohortAge, sex, smoking, SBP, previous diagnosis of diabetes, BMIDeaths from CHD and other fatal CVD, MI, stroke, revascularisation interventions, Hypertensive CCF

IHMRS [41] 201152 countriesCases of MI, age (±5 years), and sex-matched controlsAge, apolipoprotein B : A1 ratio, smoking, second-hand smoke, diabetes, high blood pressureCases of acute MI

SBP: systolic blood pressure, TC: Total cholesterol, HDL: High density lipoproetein, LDL: low density lipoprotein, TG: triglyceride FBS: Fasting blood sugar, HR: Heart rate MI: myocardial infarct, TIA: transient ischemic attack, PAD: peripheral artery disease, CCF: congestive cardiac failure.