Key result
Modified risk algorithm reclassifies post-MI patients as high risk versus standard European and SCORE tables.
Why the study?
The study aimed to demonstrate the possibilities for assessment of coronary heart disease risk degree using a modified algorithm compared to existing European Society of Cardiology and SCORE tables.
Does a modified algorithm improve the risk estimation of coronary heart disease compared to the European and SCORE tables?
Observational (n=400)
Does a modified algorithm improve the risk estimation of coronary heart disease compared to the European and SCORE tables?
A modified risk algorithm may more accurately classify patients with established coronary disease or myocardial infarction into high-risk categories compared to standard European and SCORE tables.
Modified algorithm may reclassify post-MI patients as high-risk unlike SCORE tables; hypothesis-generating and should not yet change practice.
INTRODUCTION: Determination of the overall risk of coronary disease, enables the health professionals for planning the intensity of preventive action. AIM: The aim of this study is that by the results obtained using a modified algorithm with tables adopted by the European Society of Cardiology demonstrate the possibilities for assessment of the risk of coronary heart disease degree, for application to the targeted individual or risk factors groups. MATERIAL AND METHODS: The study was conducted as a retrospective, prospective and controlled (included two groups of 200 respondents). RESULTS: By comparing the presence of risk factors according to the representation of groups of diseases, or myocardial infarction, results showed that the European and SCORE table have significantly lower levels of risk factors, or those with sustained myocardial infarction are ranked in groups of low and present risk in relation to our algorithm which patients with myocardial infarction ranked as high and pronounced degree of risk. Results showed that the European and SCORE table significantly reduce the levels of risk or the persons with heart failure have been ranked in the group of low and present risks in relation to our algorithm which patients with coronary insufficiency ranked as pronounced degree of risk. CONCLUSION: Determination of the overall risk of coronary disease, enables the health professionals for planning the intensity of preventive action. The activities of primary prevention of risk factors, or already resulting disease, may be helpful in assessing the reduction in economic costs in healthcare, both due to lower morbidity, and reducing the total cost of treatment of patients with coronary disease.
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Pesto et al. (2016) conducted an observational in Coronary heart disease (n=400). Modified algorithm for risk estimation vs. European and SCORE tables was evaluated on Risk of coronary heart disease degree. A modified algorithm ranked patients with myocardial infarction and coronary insufficiency as having a high degree of risk, whereas the European and SCORE tables ranked them as low risk.
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