Prediction of lifetime risk for cardiovascular disease by risk factor burden at 50 years of age.

Abstract:

BACKGROUND:Lifetime risk for atherosclerotic cardiovascular disease (CVD) has not previously been estimated, and the effect of risk factor burden on lifetime risk is unknown. METHODS AND RESULTS:We included all Framingham Heart Study participants who were free of CVD (myocardial infarction, coronary insufficiency, angina, stroke, claudication) at 50 years of age. Lifetime risks to 95 years of age were estimated for men and women, with death free of CVD as a competing event. We followed up 3564 men and 4362 women for 111,777 person-years; 1757 had CVD events and 1641 died free of CVD. At 50 years of age, lifetime risks were 51.7% (95% CI, 49.3 to 54.2) for men and 39.2% (95% CI, 37.0 to 41.4) for women, with median survivals of 30 and 36 years, respectively. With more adverse levels of single risk factors, lifetime risks increased and median survivals decreased. Compared with participants with > or =2 major risk factors, those with optimal levels had substantially lower lifetime risks (5.2% versus 68.9% in men, 8.2% versus 50.2% in women) and markedly longer median survivals (>39 versus 28 years in men, >39 versus 31 years in women). CONCLUSIONS:The absence of established risk factors at 50 years of age is associated with very low lifetime risk for CVD and markedly longer survival. These results should promote efforts aimed at preventing development of risk factors in young individuals. Given the high lifetime risks and lower survival in those with intermediate or high risk factor burden at 50 years of age, these data may be useful in communicating risks and supporting intensive preventive therapy.

journal_name

Circulation

journal_title

Circulation

authors

Lloyd-Jones DM,Leip EP,Larson MG,D'Agostino RB,Beiser A,Wilson PW,Wolf PA,Levy D

doi

10.1161/CIRCULATIONAHA.105.548206

subject

Has Abstract

pub_date

2006-02-14 00:00:00

pages

791-8

issue

6

eissn

0009-7322

issn

1524-4539

pii

CIRCULATIONAHA.105.548206

journal_volume

113

pub_type

杂志文章
  • The age associations of blood pressure, cholesterol, and glucose: analysis of health examination surveys from international populations.

    abstract:BACKGROUND:The age association of cardiovascular disease may be in part because its metabolic risk factors tend to rise with age. Few studies have analyzed age associations of multiple metabolic risks in the same population, especially in nationally representative samples. We examined worldwide variations in the age as...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.058834

    authors: Singh GM,Danaei G,Pelizzari PM,Lin JK,Cowan MJ,Stevens GA,Farzadfar F,Khang YH,Lu Y,Riley LM,Lim SS,Ezzati M

    更新日期:2012-05-08 00:00:00

  • Clinical trial of doxycycline for matrix metalloproteinase-9 inhibition in patients with an abdominal aneurysm: doxycycline selectively depletes aortic wall neutrophils and cytotoxic T cells.

    abstract:BACKGROUND:Doxycycline has been shown to effectively inhibit aneurysm formation in animal models of abdominal aortic aneurysm. Although this effect is ascribed to matrix metalloproteinase-9 inhibition, such an effect is unclear in human studies. We reevaluated the effect of doxycycline on aortic wall protease content i...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.108.806505

    authors: Lindeman JH,Abdul-Hussien H,van Bockel JH,Wolterbeek R,Kleemann R

    更新日期:2009-04-28 00:00:00

  • Ischemia-induced interleukin-8 release after human heart transplantation. A potential role for endothelial cells.

    abstract:BACKGROUND:Interleukin-8 (IL-8) secreted from endothelial cells is a powerful neutrophil chemoattractant and activator. We hypothesized that human endothelial cells deprived of oxygen would secrete IL-8, which might translate into elevated IL-8 production after cardiac ischemia. Furthermore, we hypothesized that corona...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.92.9.428

    authors: Oz MC,Liao H,Naka Y,Seldomridge A,Becker DN,Michler RE,Smith CR,Rose EA,Stern DM,Pinsky DJ

    更新日期:1995-11-01 00:00:00

  • Impaired VE-cadherin/beta-catenin expression mediates endothelial cell degeneration in dilated cardiomyopathy.

    abstract:BACKGROUND:The cross-talk between vascular endothelial growth factor (VEGF)-A, angiopoietin (Ang), and VE-cadherin coregulates endothelial cell (EC) survival. Cardiac expression of VEGF-A but not its receptor KDR is blunted in dilated cardiomyopathy (DCM). Whether VE-cadherin/Ang function is affected in DCM is unknown....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000091085.12422.19

    authors: Schäfer R,Abraham D,Paulus P,Blumer R,Grimm M,Wojta J,Aharinejad S

    更新日期:2003-09-30 00:00:00

  • Exercise performance after repair of anomalous origin of the left coronary artery from the pulmonary artery.

    abstract::Eleven patients underwent exercise testing after operative repair of anomalous origin of the left coronary artery from the pulmonary artery. Five patients repaired after 2 years of age comprised a childhood surgery group, and six patients repaired before 2 years of age comprised an infant surgery group. All patients w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.4.1287

    authors: Paridon SM,Farooki ZQ,Kuhns LR,Arciniegas E,Pinsky WW

    更新日期:1990-04-01 00:00:00

  • Sustained improvement in left ventricular function and mortality by intracoronary streptokinase administration during evolving myocardial infarction.

    abstract::One hundred eighty-eight patients with acute myocardial infarction were studied prospectively from August 1980 to September 1982. One hundred thirty-six of these patients were entered into a intracoronary streptokinase study after informed consent was obtained. The remaining 52 patients, who either met exclusion crite...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.1.131

    authors: Smalling RW,Fuentes F,Matthews MW,Freund GC,Hicks CH,Reduto LA,Walker WE,Sterling RP,Gould KL

    更新日期:1983-07-01 00:00:00

  • Protective effects of endogenous adrenomedullin on cardiac hypertrophy, fibrosis, and renal damage.

    abstract:BACKGROUND:Adrenomedullin (AM) is a novel vasodilating peptide thought to have important effects on cardiovascular function. The aim of this study was to assess the activity of endogenous AM in the cardiovascular system using AM knockout mice. METHODS AND RESULTS:Mice heterozygous for an AM-null mutation (AM+/-) and t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000118466.47982.CC

    authors: Niu P,Shindo T,Iwata H,Iimuro S,Takeda N,Zhang Y,Ebihara A,Suematsu Y,Kangawa K,Hirata Y,Nagai R

    更新日期:2004-04-13 00:00:00

  • Acute hemodynamic effects of captopril in children with a congestive or restrictive cardiomyopathy.

    abstract::The acute hemodynamic effects of captopril were evaluated at cardiac catheterization in 16 children (age, 0.3-18 years) with cardiomyopathy. Twelve children had congestive cardiomyopathy, whereas four had restrictive cardiomyopathy. Hemodynamic measurements were obtained 30 and 60 minutes after the oral administration...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.83.2.523

    authors: Bengur AR,Beekman RH,Rocchini AP,Crowley DC,Schork MA,Rosenthal A

    更新日期:1991-02-01 00:00:00

  • Noninvasive visualization of the dilated main coronary arteries in coronary artery fistulas by cross-sectional echocardiography.

    abstract::Real-time cross-sectional echocardiographic studies of the main coronary arteries were performed in 20 normal subjects, 12 patients with patent ductus arteriosus and 14 patients with coronary artery fistula in whom the diagnosis was established by angiography. In 12 patients, the coronary artery that formed the fistul...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.3.600

    authors: Yoshikawa J,Katao H,Yanagihara K,Takagi Y,Okumachi F,Yoshida K,Tomita Y,Fukaya T,Baba K

    更新日期:1982-03-01 00:00:00

  • Urinary bisphenol A concentration and risk of future coronary artery disease in apparently healthy men and women.

    abstract:BACKGROUND:The endocrine-disrupting chemical bisphenol A (BPA) is widely used in food and beverage packaging. Higher urinary BPA concentrations were cross-sectionally associated with heart disease in National Health and Nutrition Examination Survey (NHANES) 2003-2004 and NHANES 2005-2006, independent of traditional ris...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.069153

    authors: Melzer D,Osborne NJ,Henley WE,Cipelli R,Young A,Money C,McCormack P,Luben R,Khaw KT,Wareham NJ,Galloway TS

    更新日期:2012-03-27 00:00:00

  • Comparative responses to dobutamine and nitroprusside in patients with chronic low output cardiac failure.

    abstract::The acute hemodynamic effects of dobutamine and nitroprusside were compared in 19 patients with low output cardiac failure. At dosage levels yielding similar increases in cardiac index (12 patients), nitroprusside resulted in significantly lower arterial systolic and wedge pressures and did not increase heart rate sug...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.6.918

    authors: Berkowitz C,McKeever L,Croke RP,Jacobs WR,Loeb HS,Gunnar RM

    更新日期:1977-12-01 00:00:00

  • Dronedarone.

    abstract::Amiodarone is the most effective antiarrhythmic drug for maintaining sinus rhythm for patients with atrial fibrillation. Extra-cardiac side effects have been a limiting factor, especially during chronic use, and may offset its benefits. Dronedarone is a noniodinated benzofuran derivative of amiodarone that has been de...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.109.858027

    authors: Patel C,Yan GX,Kowey PR

    更新日期:2009-08-18 00:00:00

  • Randomized trial of subcutaneous low-molecular-weight heparin CY 216 (Fraxiparine) compared with intravenous unfractionated heparin in the curative treatment of submassive pulmonary embolism. A dose-ranging study.

    abstract:BACKGROUND:We compared the efficacy and safety of different dosages of a low-molecular-weight heparin, CY 216 D (Fraxiparine), in the treatment of submassive pulmonary embolism with unfractionated heparin in a prospective, randomized, dose-finding study. METHODS AND RESULTS:The primary outcome was the evolution of pul...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.85.4.1380

    authors: Théry C,Simonneau G,Meyer G,Hélénon O,Bridey F,Armagnac C,d'Azemar P,Coquart JP

    更新日期:1992-04-01 00:00:00

  • Exercise Training-Induced Repolarization Abnormalities Masquerading as Congenital Long QT Syndrome.

    abstract:BACKGROUND:The diagnosis of long QT syndrome (LQTS) is rather straightforward. We were surprised by realizing that, despite long-standing experience, we were making occasional diagnostic errors by considering as affected subjects who, over time, resulted as not affected. These individuals were all actively practicing s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.048916

    authors: Dagradi F,Spazzolini C,Castelletti S,Pedrazzini M,Kotta MC,Crotti L,Schwartz PJ

    更新日期:2020-12-22 00:00:00

  • Carotid intimal-medial thickness is related to cardiovascular risk factors measured from childhood through middle age: The Muscatine Study.

    abstract:BACKGROUND:Higher carotid intimal-medial thickness (IMT) is associated with cardiovascular risk factors and is predictive of coronary artery disease and stroke in older adults. Carotid IMT was measured in young and middle-aged adults to determine its relationship with risk factors measured (1) in childhood, (2) current...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4601.099486

    authors: Davis PH,Dawson JD,Riley WA,Lauer RM

    更新日期:2001-12-04 00:00:00

  • Effects of vagal stimulation on cesium-induced early afterdepolarizations and ventricular arrhythmias in rabbits.

    abstract:BACKGROUND:Previous evidence has shown that increased sympathetic tone enhances the cesium chloride (Cs)-induced early afterdepolarizations (EADs) and ventricular tachycardias (VTs). METHODS AND RESULTS:We assessed the effects of vagal stimulation on Cs-induced EADs and ventricular arrhythmias in the rabbit heart. Mon...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.6.1987

    authors: Takahashi N,Ito M,Ishida S,Fujino T,Saikawa T,Arita M

    更新日期:1992-12-01 00:00:00

  • Efficacy of routine fetal ultrasound screening for congenital heart disease in normal pregnancy.

    abstract:BACKGROUND:Second trimester routine ultrasound evaluation of the fetal heart by means of the four-chamber view has been proposed for prenatal detection of cardiac anomalies. The aim of this study was to evaluate the efficacy of this procedure. METHODS AND RESULTS:A prospective follow-up study on 6922 scanned fetuses w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.1.67

    authors: Buskens E,Grobbee DE,Frohn-Mulder IM,Stewart PA,Juttmann RE,Wladimiroff JW,Hess J

    更新日期:1996-07-01 00:00:00

  • Alcohol consumption and risk of intermittent claudication in the Framingham Heart Study.

    abstract:BACKGROUND:Intermittent claudication (IC) is associated with an increased risk of cardiovascular disease morbidity and mortality. The relation of alcohol consumption to the risk of IC remains controversial. The purpose of this study was to assess the relation of alcohol consumption and type of beverage to the developme...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.25.3092

    authors: Djoussé L,Levy D,Murabito JM,Cupples LA,Ellison RC

    更新日期:2000-12-19 00:00:00

  • Sensitivity to apoptosis signal, clearance rate, and ultrastructure of fas ligand-induced apoptosis in in vivo adult cardiac cells.

    abstract:BACKGROUND:Sensitivity to apoptotic signals, the clearance rate of apoptosis, and the apoptotic ultrastructure have not been studied in cells of the in vivo adult heart. METHODS AND RESULTS:To minimize the systemic influence, soluble Fas ligand was injected directly into in vivo rat hearts and livers (as the control) ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000018651.89208.69

    authors: Hayakawa K,Takemura G,Koda M,Kawase Y,Maruyama R,Li Y,Minatoguchi S,Fujiwara T,Fujiwara H

    更新日期:2002-06-25 00:00:00

  • Inhibition of inositol(1,4,5)Trisphosphate generation by endothelin-1 during postischemic reperfusion: A novel antiarrhythmic mechanism.

    abstract:BACKGROUND:Reperfusion of ischemic rat hearts in the presence of thrombin or norepinephrine but not endothelin-1 causes the generation of inositol 1,4,5-trisphosphate (Ins 1,4,5P3) and arrhythmias. The present study investigates the effect of endothelin-1 on these responses. METHODS AND RESULTS:Ins 1,4,5P3 generation ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.6.823

    authors: Woodcock EA,Reyes N,Jacobsen AN,Du XJ

    更新日期:1999-02-16 00:00:00

  • Regulation of Kv4.3 current by KChIP2 splice variants: a component of native cardiac I(to)?

    abstract:BACKGROUND:The transient outward potassium current (I(to)) encoded by the Kv4 family of potassium channels is important in the repolarization of cardiac myocytes. KChIPs are a recently identified group of Ca2+-binding accessory subunits that modulate Kv4-encoded currents. KChIP2 is the only family member expressed in t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000025417.65658.b6

    authors: Deschênes I,DiSilvestre D,Juang GJ,Wu RC,An WF,Tomaselli GF

    更新日期:2002-07-23 00:00:00

  • Nitric oxide modulates myocardial oxygen consumption in the failing heart.

    abstract:BACKGROUND:Endogenous nitric oxide (NO) has been reported to inhibit oxygen consumption in the normal heart, so that nonselective inhibition of NO synthase (NOS) caused an increase of myocardial oxygen consumption (MVO2). Although endothelial NOS responses are depressed in congestive heart failure (CHF), inducible NOS ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000021120.90970.b9

    authors: Chen Y,Traverse JH,Du R,Hou M,Bache RJ

    更新日期:2002-07-09 00:00:00

  • Management of Intraprocedural Anticoagulation in Patients on Non-Vitamin K Antagonist Oral Anticoagulants Undergoing Catheter Ablation for Atrial Fibrillation: Understanding the Gaps in Evidence.

    abstract::Catheter ablation has gained a prominent role in the management of atrial fibrillation (AF), with recent data providing positive evidence on hard outcomes, including hospitalization and mortality. Ablation, however, exposes the patient to a rather unique situation, combining risks for both major bleeding and thromboem...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.117.033326

    authors: Martin AC,Godier A,Narayanan K,Smadja DM,Marijon E

    更新日期:2018-08-07 00:00:00

  • Abdominal aortic calcific deposits are an important predictor of vascular morbidity and mortality.

    abstract:BACKGROUND:The impact of abdominal arterial calcific deposits on the prediction of cardiovascular disease (CVD) over a long follow-up interval deserves greater scrutiny. METHODS AND RESULTS:Lateral lumbar radiographs were studied as a predictor of incident coronary heart disease (CHD), CVD, and CVD mortality in 1049 m...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.11.1529

    authors: Wilson PW,Kauppila LI,O'Donnell CJ,Kiel DP,Hannan M,Polak JM,Cupples LA

    更新日期:2001-03-20 00:00:00

  • Angina micturition.

    abstract::A case history of a 46-year-old Negro male was presented with rheumatic aortic insufficiency, angina pectoris, and possible subacute bacterial endocarditis. While hospitalized, the patient developed angina pectoris associated with micturition. This was not accompanied by a change in blood pressure, pulse, or increase ...

    journal_title:Circulation

    pub_type: 历史文章,杂志文章

    doi:10.1161/01.cir.27.1.85

    authors: Morris JJ,McIntosh HD

    更新日期:1963-01-01 00:00:00

  • Measurement of right and left ventricular systolic time intervals by echocardiography.

    abstract::One of the noninvasive methods of evaluating left ventricular performance is the measurement of left ventricular systolic time intervals (LVSTI). However, noninvasive measurement of right ventricular systole by this technique has been unreliable because of the inability to accurately time the onset of right ventricula...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.51.2.304

    authors: Hirschfeld S,Meyer R,Schwartz DC,Korfhagen J,Kaplan S

    更新日期:1975-02-01 00:00:00

  • Late complications in patients with Björk-Shiley and St. Jude Medical heart valve replacement.

    abstract::Valve-related complications after Björk-Shiley mitral valve implantation (n = 475), aortic valve implantation (n = 424), or mitral-aortic valve implantation (n = 119) were compared with those after St. Jude Medical mitral valve replacement (n = 173), aortic valve replacement (n = 152), or mitral-aortic valve replaceme...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Horstkotte D,Körfer R,Seipel L,Bircks W,Loogen F

    更新日期:1983-09-01 00:00:00

  • Mechanism of supraventricular parasystole.

    abstract::Two patients with supraventricular parasystole (one atrioventricular and one auricular) are reported. In both patients, reentrant extrasystoles appeared to occur as the result of Mobitz type I second-degree entrance block. We believe that when a sinus impulse fell soon after the absolute refractory period of the pathw...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.1.208

    authors: Kinoshita S,Nakagawa K,Kato N,Nishino T,Tanabe Y

    更新日期:1982-01-01 00:00:00

  • Morphological observations late (greater than 30 days) after clinically successful coronary balloon angioplasty.

    abstract::This report describes clinical, morphological, and histological findings late (1.6-24.1 months [average, 8.2 months]) after clinically successful coronary balloon angioplasty in 20 necropsied patients with coronary angioplasty restenosis. Clinical evidence of restenosis occurred in 14 (70%) of patients, including six ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Waller BF,Pinkerton CA,Orr CM,Slack JD,VanTassel JW,Peters T

    更新日期:1991-02-01 00:00:00

  • Prognostic Implications of Magnetic Resonance-Derived Quantification in Asymptomatic Patients With Organic Mitral Regurgitation: Comparison With Doppler Echocardiography-Derived Integrative Approach.

    abstract:BACKGROUND:Magnetic resonance imaging (MRI) is an accurate method for the quantitative assessment of organic mitral regurgitation (OMR). The aim of the present study was to compare the discriminative power of MRI quantification and the recommended Doppler echocardiography (ECHO)-derived integrative approach to identify...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.117.029332

    authors: Penicka M,Vecera J,Mirica DC,Kotrc M,Kockova R,Van Camp G

    更新日期:2018-03-27 00:00:00