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Cardiovascular risk assessment tools in Asia

Cardiovascular disease (CVD) is becoming the most important burden to health care systems in most part of the world, especially in Asia. Aiming at identifying high risk individuals and tailoring preventive treatment, many cardiovascular risk assessment tools have been established and most of them we...

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Autores principales: Zhang, Yuqing, Miao, Huanhuan, Chia, Yook‐Chin, Buranakitjaroen, Peera, Siddique, Saulat, Shin, Jinho, Turana, Yuda, Park, Sungha, Tsoi, Kelvin, Chen, Chen‐Huan, Cheng, Hao‐Min, Li, Yan, Minh, Huynh Van, Nagai, Michiaki, Nailes, Jennifer, Sison, Jorge, Soenarta, Arieska Ann, Sogunuru, Guru Prasad, Sukonthasarn, Apichard, Tay, Jam Chin, Teo, Boon Wee, Verma, Narsingh, Wang, Tzung‐Dau, Hoshide, Satoshi, Kario, Kazuomi, Wang, Jiguang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989745/
https://www.ncbi.nlm.nih.gov/pubmed/34981620
http://dx.doi.org/10.1111/jch.14336
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author Zhang, Yuqing
Miao, Huanhuan
Chia, Yook‐Chin
Buranakitjaroen, Peera
Siddique, Saulat
Shin, Jinho
Turana, Yuda
Park, Sungha
Tsoi, Kelvin
Chen, Chen‐Huan
Cheng, Hao‐Min
Li, Yan
Minh, Huynh Van
Nagai, Michiaki
Nailes, Jennifer
Sison, Jorge
Soenarta, Arieska Ann
Sogunuru, Guru Prasad
Sukonthasarn, Apichard
Tay, Jam Chin
Teo, Boon Wee
Verma, Narsingh
Wang, Tzung‐Dau
Hoshide, Satoshi
Kario, Kazuomi
Wang, Jiguang
author_facet Zhang, Yuqing
Miao, Huanhuan
Chia, Yook‐Chin
Buranakitjaroen, Peera
Siddique, Saulat
Shin, Jinho
Turana, Yuda
Park, Sungha
Tsoi, Kelvin
Chen, Chen‐Huan
Cheng, Hao‐Min
Li, Yan
Minh, Huynh Van
Nagai, Michiaki
Nailes, Jennifer
Sison, Jorge
Soenarta, Arieska Ann
Sogunuru, Guru Prasad
Sukonthasarn, Apichard
Tay, Jam Chin
Teo, Boon Wee
Verma, Narsingh
Wang, Tzung‐Dau
Hoshide, Satoshi
Kario, Kazuomi
Wang, Jiguang
author_sort Zhang, Yuqing
collection PubMed
description Cardiovascular disease (CVD) is becoming the most important burden to health care systems in most part of the world, especially in Asia. Aiming at identifying high risk individuals and tailoring preventive treatment, many cardiovascular risk assessment tools have been established and most of them were developed in Western countries. However, these cardiovascular risk assessment tools cannot be used interchangeably without recalibration because of the different risk factor profiles (ie, greater absolute burden of hypertension and lower level of total‐cholesterol in Asians and higher prevalence of metabolic disorders in South Asians) and different CVD profiles (higher ratio of stroke/coronary heart disease in Asians) between Western and Asian populations. Original risk models such as Prediction for ASCVD Risk in China (China‐PAR) and Japan Arteriosclerosis Longitudinal Study (JALS) score have been developed and well validated for specific countries, while most of countries/regions in Asia are using established models. Due to higher incidence of stroke in Asians, risk factors like hypertension should weigh more in cardiovascular risk assessment comparing with Western populations, but their actual proportions should be based on CVD profiles in specific countries/regions. The authors encourage the development of new cardiovascular risk assessment tools for Asians, if possible. Still, modifying established models with native epidemiological data of risk factor as well as CVD is acceptable in regions where health care resources are insufficient.
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spelling pubmed-89897452022-04-13 Cardiovascular risk assessment tools in Asia Zhang, Yuqing Miao, Huanhuan Chia, Yook‐Chin Buranakitjaroen, Peera Siddique, Saulat Shin, Jinho Turana, Yuda Park, Sungha Tsoi, Kelvin Chen, Chen‐Huan Cheng, Hao‐Min Li, Yan Minh, Huynh Van Nagai, Michiaki Nailes, Jennifer Sison, Jorge Soenarta, Arieska Ann Sogunuru, Guru Prasad Sukonthasarn, Apichard Tay, Jam Chin Teo, Boon Wee Verma, Narsingh Wang, Tzung‐Dau Hoshide, Satoshi Kario, Kazuomi Wang, Jiguang J Clin Hypertens (Greenwich) Review Cardiovascular disease (CVD) is becoming the most important burden to health care systems in most part of the world, especially in Asia. Aiming at identifying high risk individuals and tailoring preventive treatment, many cardiovascular risk assessment tools have been established and most of them were developed in Western countries. However, these cardiovascular risk assessment tools cannot be used interchangeably without recalibration because of the different risk factor profiles (ie, greater absolute burden of hypertension and lower level of total‐cholesterol in Asians and higher prevalence of metabolic disorders in South Asians) and different CVD profiles (higher ratio of stroke/coronary heart disease in Asians) between Western and Asian populations. Original risk models such as Prediction for ASCVD Risk in China (China‐PAR) and Japan Arteriosclerosis Longitudinal Study (JALS) score have been developed and well validated for specific countries, while most of countries/regions in Asia are using established models. Due to higher incidence of stroke in Asians, risk factors like hypertension should weigh more in cardiovascular risk assessment comparing with Western populations, but their actual proportions should be based on CVD profiles in specific countries/regions. The authors encourage the development of new cardiovascular risk assessment tools for Asians, if possible. Still, modifying established models with native epidemiological data of risk factor as well as CVD is acceptable in regions where health care resources are insufficient. John Wiley and Sons Inc. 2022-01-04 /pmc/articles/PMC8989745/ /pubmed/34981620 http://dx.doi.org/10.1111/jch.14336 Text en © 2021 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Zhang, Yuqing
Miao, Huanhuan
Chia, Yook‐Chin
Buranakitjaroen, Peera
Siddique, Saulat
Shin, Jinho
Turana, Yuda
Park, Sungha
Tsoi, Kelvin
Chen, Chen‐Huan
Cheng, Hao‐Min
Li, Yan
Minh, Huynh Van
Nagai, Michiaki
Nailes, Jennifer
Sison, Jorge
Soenarta, Arieska Ann
Sogunuru, Guru Prasad
Sukonthasarn, Apichard
Tay, Jam Chin
Teo, Boon Wee
Verma, Narsingh
Wang, Tzung‐Dau
Hoshide, Satoshi
Kario, Kazuomi
Wang, Jiguang
Cardiovascular risk assessment tools in Asia
title Cardiovascular risk assessment tools in Asia
title_full Cardiovascular risk assessment tools in Asia
title_fullStr Cardiovascular risk assessment tools in Asia
title_full_unstemmed Cardiovascular risk assessment tools in Asia
title_short Cardiovascular risk assessment tools in Asia
title_sort cardiovascular risk assessment tools in asia
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989745/
https://www.ncbi.nlm.nih.gov/pubmed/34981620
http://dx.doi.org/10.1111/jch.14336
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