Review on Cardiovascular Risk Prediction

The objectives were to review the currently available and widely used cardiovascular risk assessment models and to examine the evidence available on new biomarkers and the nonclinical measures in improving the risk prediction in the population level. Identification of individuals at risk of cardiova...

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Main Authors: Ruwanpathirana, T., Owen, A., Reid, Christopher
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd. 2015
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/48411
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author Ruwanpathirana, T.
Owen, A.
Reid, Christopher
author_facet Ruwanpathirana, T.
Owen, A.
Reid, Christopher
author_sort Ruwanpathirana, T.
building Curtin Institutional Repository
collection Online Access
description The objectives were to review the currently available and widely used cardiovascular risk assessment models and to examine the evidence available on new biomarkers and the nonclinical measures in improving the risk prediction in the population level. Identification of individuals at risk of cardiovascular disease (CVD), to better target prevention and treatment, has become a top research priority. Cardiovascular risk prediction has progressed with the development and refinement of risk prediction models based upon established clinical factors, and the discovery of novel biomarkers, lifestyle, and social factors may offer additional information on the risk of disease. However, a significant proportion of individuals who have a myocardial infarction still are categorized as low risk by many of the available methods. Although novel biomarkers can improve risk prediction, including B-type natriuretic peptides which have shown the best predictive capacity per unit cost, there is concern that the use of risk prediction strategies which rely upon new/or expensive biomarkers could further broaden social inequalities in CVD. In contrast, nonclinical factors such as work stress, social isolation, and early childhood experience also appear to be associated with cardiovascular risk and have the potential to be utilized for the baseline risk stratification at the population level. A stepwise approach of nonclinical methods followed by risk scores consisting of clinical risk factors may offer a better option for initial and subsequent screening, preserving more specialized approaches including novel biomarkers for enhanced risk stratification at population level in a cost-effective manner.
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publishDate 2015
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spelling curtin-20.500.11937-484112017-09-13T14:26:10Z Review on Cardiovascular Risk Prediction Ruwanpathirana, T. Owen, A. Reid, Christopher Cost-effectiveness Novel biomarkers Risk prediction models Cardiovascular disease The objectives were to review the currently available and widely used cardiovascular risk assessment models and to examine the evidence available on new biomarkers and the nonclinical measures in improving the risk prediction in the population level. Identification of individuals at risk of cardiovascular disease (CVD), to better target prevention and treatment, has become a top research priority. Cardiovascular risk prediction has progressed with the development and refinement of risk prediction models based upon established clinical factors, and the discovery of novel biomarkers, lifestyle, and social factors may offer additional information on the risk of disease. However, a significant proportion of individuals who have a myocardial infarction still are categorized as low risk by many of the available methods. Although novel biomarkers can improve risk prediction, including B-type natriuretic peptides which have shown the best predictive capacity per unit cost, there is concern that the use of risk prediction strategies which rely upon new/or expensive biomarkers could further broaden social inequalities in CVD. In contrast, nonclinical factors such as work stress, social isolation, and early childhood experience also appear to be associated with cardiovascular risk and have the potential to be utilized for the baseline risk stratification at the population level. A stepwise approach of nonclinical methods followed by risk scores consisting of clinical risk factors may offer a better option for initial and subsequent screening, preserving more specialized approaches including novel biomarkers for enhanced risk stratification at population level in a cost-effective manner. 2015 Journal Article http://hdl.handle.net/20.500.11937/48411 10.1111/1755-5922.12110 Wiley-Blackwell Publishing Ltd. unknown
spellingShingle Cost-effectiveness
Novel biomarkers
Risk prediction models
Cardiovascular disease
Ruwanpathirana, T.
Owen, A.
Reid, Christopher
Review on Cardiovascular Risk Prediction
title Review on Cardiovascular Risk Prediction
title_full Review on Cardiovascular Risk Prediction
title_fullStr Review on Cardiovascular Risk Prediction
title_full_unstemmed Review on Cardiovascular Risk Prediction
title_short Review on Cardiovascular Risk Prediction
title_sort review on cardiovascular risk prediction
topic Cost-effectiveness
Novel biomarkers
Risk prediction models
Cardiovascular disease
url http://hdl.handle.net/20.500.11937/48411