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Absolute CVD risk, stratified by risk score, was 20% higher in primary care patients with CVD than in those without CVDCommentary

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Question

How do risks of cardiovascular disease (CVD) events compare in primary care patients with and without a history of CVD after adjusting for traditional CVD risk factors?

Methods

Design:

prospective cohort study with a mean 2 years of follow-up.

Setting:

primary care practices in Auckland, New Zealand.

Patients:

35 760 patients 30–74 years of age (mean age 54 y, 57% men, 10% with a history of CVD) who had a CVD risk score calculated using the web-based PREDICT clinical decision support program.

Description of prediction guide:

based on the Framingham risk score, PREDICT uses traditional CVD risk factors (age, sex, diabetes, smoking, blood pressure, and cholesterol concentrations) to classify patients as having <5%, 5 to <10%, 10 to <15%, 15 to <20%, or ⩾20% 5-year risk of a CVD event.

Outcome:

first CVD event (acute coronary syndrome, ischaemic or haemorrhagic stroke, …

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