Response to Conroy et al. SCORE Project | Zendy

Gerd Assmann | Zendy

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Response to Conroy et al. SCORE Project

Author(s) -

Gerd Assmann

Publication year - 2003

Publication title -

european heart journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 4.336

H-Index - 293

eISSN - 1522-9645

pISSN - 0195-668X

DOI - 10.1016/j.ehj.2003.07.009

Subject(s) - medicine , framingham risk score , coronary heart disease , risk factor , risk assessment , stroke (engine) , disease , cardiology , management , mechanical engineering , engineering , economics

Dear SirIn recent years, the practise of coronary heart disease prevention has seen a shift from a focus on single risk factors to an emphasis on the total burden of risk (global risk approach). We note the publication the Systematic Coronary Risk Evaluation (SCORE) project by Conroy et al. as an interesting contribution to this approach in Europe.1However, certain features of this paper are worthy ofcomment.First, the SCORE project calculated the total cardiovascular risk rather than the risk of coronary heart disease. This was done to give a better estimate of risk to the person, to provide a better reflection of the health service implications of cardiovascular risk factors, and because non-coronary cardiovascular disease represents a greater proportion of all cardiovascular risk in European regions with low rates of coronary heart disease. These reasons are understandable. However, this approach may cause difficulties in practise. The risk factor profiles for stroke and coronary heart …

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