Abstract:
BACKGROUND:Atherosclerosis is a chronic progressive disease often presenting as clinical cardiovascular disease (CVD) events. This study evaluated the characteristics of individuals with a diagnosis of atherosclerosis and estimated the incidence of CVD events to assist in the early identification of high-risk individuals. METHODS:Respondents to the US SHIELD baseline survey were followed for 2 years to observe incident self-reported CVD. Respondents had subclinical atherosclerosis if they reported a diagnosis of narrow or blocked arteries/carotid artery disease without a past clinical CVD event (heart attack, stroke or revascularization). Characteristics of those with atherosclerosis and incident CVD were compared with those who did not report atherosclerosis at baseline but had CVD in the following 2 years using chi-square tests. Logistic regression model identified characteristics associated with atherosclerosis and incident events. RESULTS:Of 17,640 respondents, 488 (2.8%) reported having subclinical atherosclerosis at baseline. Subclinical atherosclerosis was associated with age, male gender, dyslipidemia, circulation problems, hypertension, past smoker, and a cholesterol test in past year (OR = 2.2) [all p < 0.05]. Incident CVD was twice as high in respondents with subclinical atherosclerosis (25.8%) as in those without atherosclerosis or clinical CVD (12.2%). In individuals with subclinical atherosclerosis, men (RR = 1.77, p = 0.050) and individuals with circulation problems (RR = 2.36, p = 0.003) were at greatest risk of experiencing CVD events in the next 2 years. CONCLUSION:Self-report of subclinical atherosclerosis identified an extremely high-risk group with a >25% risk of a CVD event in the next 2 years. These characteristics may be useful for identifying individuals for more aggressive diagnostic and therapeutic efforts.
journal_name
BMC Cardiovasc Disordjournal_title
BMC cardiovascular disordersauthors
Robinson JG,Fox KM,Bullano MF,Grandy S,SHIELD Study Group.doi
10.1186/1471-2261-9-46subject
Has Abstractpub_date
2009-09-15 00:00:00pages
46issn
1471-2261pii
1471-2261-9-46journal_volume
9pub_type
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journal_title:BMC cardiovascular disorders
pub_type: 杂志文章
doi:10.1186/1471-2261-12-39
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journal_title:BMC cardiovascular disorders
pub_type: 杂志文章
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journal_title:BMC cardiovascular disorders
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2019-10-07 00:00:00
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章
doi:10.1186/s12872-020-01613-y
更新日期:2020-07-14 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12872-020-01775-9
更新日期:2021-01-06 00:00:00
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更新日期:2017-03-01 00:00:00
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更新日期:2020-04-16 00:00:00
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更新日期:2018-04-16 00:00:00
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journal_title:BMC cardiovascular disorders
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12872-016-0221-7
更新日期:2016-02-13 00:00:00
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pub_type: 杂志文章,meta分析
doi:10.1186/s12872-017-0686-z
更新日期:2017-10-05 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2261-10-56
更新日期:2010-11-10 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2020-05-06 00:00:00
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pub_type: 杂志文章
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更新日期:2016-01-28 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12872-017-0521-6
更新日期:2017-03-23 00:00:00
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journal_title:BMC cardiovascular disorders
pub_type: 杂志文章
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更新日期:2017-03-23 00:00:00
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journal_title:BMC cardiovascular disorders
pub_type: 杂志文章
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更新日期:2004-11-01 00:00:00
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章
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更新日期:2009-03-03 00:00:00
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pub_type: 杂志文章
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更新日期:2018-04-11 00:00:00
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pub_type: 杂志文章,meta分析,评审
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