Assessment of risk for developing coronary heart disease in asymptomatic individuals

C. Tissa Kappagoda, Ezra A Amsterdam

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

The assessment of risk for developing coronary heart disease (CHD) in asymptomatic individuals continues to be an important challenge for clinicians. We suggest that the Framingham risk score provides a pragmatic basis for assessing global 10-year CHD risk in this population. The Framingham risk score should be supplemented with additional information pertaining to diabetes, metabolic syndrome, family history, and peripheral arterial disease before a final decision is made with respect to individual risk. In terms of additional investigations, it is suggested that measurement of the ankle brachial index and a stress test that focuses on functional capacity be incorporated into the evaluation of asymptomatic subjects for CHD. The role of emerging risk factors remains unresolved as is the value of attempting to routinely diagnose subclinical disease with measurements such as the coronary calcium score.

Original languageEnglish (US)
Pages (from-to)207-219
Number of pages13
JournalJournal of Cardiopulmonary Rehabilitation and Prevention
Volume29
Issue number4
DOIs
StatePublished - Jul 2009

Keywords

  • Carotid ultrasound
  • Coronary calcium score
  • Emerging risk factors
  • Framingham risk score

ASJC Scopus subject areas

  • Rehabilitation
  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

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