Key result
Modified Framingham score reclassifies cardiovascular risk, slashing low-risk patients from 74% to 22%.
Why the study?
Cardiovascular risk assessment in hypertensive patients may be improved by incorporating emerging risk factors beyond the traditional Framingham score.
Does a modified Framingham score incorporating emerging risk factors change cardiovascular risk classification compared to the traditional score in hypertensive patients?
Cross-Sectional (n=50)
Does a modified Framingham score incorporating emerging risk factors change cardiovascular risk classification compared to the traditional score in hypertensive patients?
Incorporating emerging risk factors into the Framingham score significantly reclassifies hypertensive patients into higher cardiovascular risk categories.
Reclassifies more patients as higher risk; hypothesis-generating and should not change practice without outcome validation.
OBJECTIVE: to assess cardiovascular risk by means of the traditional Framingham score and the version modified through the incorporation of emerging risk factors, such as family history of acute myocardial infarction, metabolic syndrome and chronic kidney disease. METHOD: participants were 50 hypertensive patients under outpatient treatment. The clinical data were collected through a semi-structured interview and the laboratory data from patients' histories. RESULTS: it was verified that the traditional Framingham score was predominantly low (74%), with 14% showing medium risk and 12% high risk. After the inclusion of emerging risk factors, the chance of a coronary event was low in 22% of the cases, medium in 56% and high in 22%. CONCLUSIONS: the comparison between the traditional Framingham risk score and the modified version demonstrated a significant difference in the cardiovascular risk classification, whose correlation shows discreet agreement between the two scales. Lifestyle elements seem to play a determinant role in the increase in cardiovascular risk levels.
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Paula et al. (2013) conducted a cross-sectional in Hypertension (n=50). Modified Framingham score vs. Traditional Framingham score was evaluated on Cardiovascular risk classification. The modified Framingham score incorporating emerging risk factors reclassified cardiovascular risk compared to the traditional score, reducing the proportion of low-risk patients from 74% to 22%.
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