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Systematic Coronary Risk Evaluation estimated risk and prevalent subclinical atherosclerosis in coronary and carotid arteries : A population-based cohort analysis from the Swedish Cardiopulmonary Bioimage Study

Östgren, Carl J LU ; Söderberg, Stefan ; Festin, Karin ; Angerås, Oskar ; Bergström, Göran ; Blomberg, Anders ; Brandberg, John ; Cederlund, Kerstin ; Eliasson, Mats and Engström, Gunnar LU , et al. (2020) In European Journal of Preventive Cardiology p.1-12
Abstract

BACKGROUND: It is not clear if the European Systematic Coronary Risk Evaluation algorithm is useful for identifying prevalent subclinical atherosclerosis in a population of apparently healthy individuals. Our aim was to explore the association between the risk estimates from Systematic Coronary Risk Evaluation and prevalent subclinical atherosclerosis.

DESIGN: The design of this study was as a cross-sectional analysis from a population-based study cohort.

METHODS: From the general population, the Swedish Cardiopulmonary Bioimage Study randomly invited individuals aged 50-64 years and enrolled 13,411 participants mean age 57 (standard deviation 4.3) years; 46% males between November 2013-December 2016. Associations between... (More)

BACKGROUND: It is not clear if the European Systematic Coronary Risk Evaluation algorithm is useful for identifying prevalent subclinical atherosclerosis in a population of apparently healthy individuals. Our aim was to explore the association between the risk estimates from Systematic Coronary Risk Evaluation and prevalent subclinical atherosclerosis.

DESIGN: The design of this study was as a cross-sectional analysis from a population-based study cohort.

METHODS: From the general population, the Swedish Cardiopulmonary Bioimage Study randomly invited individuals aged 50-64 years and enrolled 13,411 participants mean age 57 (standard deviation 4.3) years; 46% males between November 2013-December 2016. Associations between Systematic Coronary Risk Evaluation risk estimates and coronary artery calcification and plaques in the carotid arteries by using imaging data from a computed tomography of the heart and ultrasonography of the carotid arteries were examined.

RESULTS: Coronary calcification was present in 39.5% and carotid plaque in 56.0%. In men, coronary artery calcium score >0 ranged from 40.7-65.9% and presence of carotid plaques from 54.5% to 72.8% in the age group 50-54 and 60-65 years, respectively. In women, the corresponding difference was from 17.1-38.9% and from 41.0-58.4%. A doubling of Systematic Coronary Risk Evaluation was associated with an increased probability to have coronary artery calcium score >0 (odds ratio: 2.18 (95% confidence interval 2.07-2.30)) and to have >1 carotid plaques (1.67 (1.61-1.74)).

CONCLUSION: Systematic Coronary Risk Evaluation estimated risk is associated with prevalent subclinical atherosclerosis in two major vascular beds in a general population sample without established cardiovascular disease or diabetes mellitus. Thus, the Systematic Coronary Risk Evaluation risk chart may be of use for estimating the risk of subclinical atherosclerosis.

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@article{a0b9ea23-3049-4d30-981f-2a414c5cc134,
  abstract     = {<p>BACKGROUND: It is not clear if the European Systematic Coronary Risk Evaluation algorithm is useful for identifying prevalent subclinical atherosclerosis in a population of apparently healthy individuals. Our aim was to explore the association between the risk estimates from Systematic Coronary Risk Evaluation and prevalent subclinical atherosclerosis.</p><p>DESIGN: The design of this study was as a cross-sectional analysis from a population-based study cohort.</p><p>METHODS: From the general population, the Swedish Cardiopulmonary Bioimage Study randomly invited individuals aged 50-64 years and enrolled 13,411 participants mean age 57 (standard deviation 4.3) years; 46% males between November 2013-December 2016. Associations between Systematic Coronary Risk Evaluation risk estimates and coronary artery calcification and plaques in the carotid arteries by using imaging data from a computed tomography of the heart and ultrasonography of the carotid arteries were examined.</p><p>RESULTS: Coronary calcification was present in 39.5% and carotid plaque in 56.0%. In men, coronary artery calcium score &gt;0 ranged from 40.7-65.9% and presence of carotid plaques from 54.5% to 72.8% in the age group 50-54 and 60-65 years, respectively. In women, the corresponding difference was from 17.1-38.9% and from 41.0-58.4%. A doubling of Systematic Coronary Risk Evaluation was associated with an increased probability to have coronary artery calcium score &gt;0 (odds ratio: 2.18 (95% confidence interval 2.07-2.30)) and to have &gt;1 carotid plaques (1.67 (1.61-1.74)).</p><p>CONCLUSION: Systematic Coronary Risk Evaluation estimated risk is associated with prevalent subclinical atherosclerosis in two major vascular beds in a general population sample without established cardiovascular disease or diabetes mellitus. Thus, the Systematic Coronary Risk Evaluation risk chart may be of use for estimating the risk of subclinical atherosclerosis.</p>},
  author       = {Östgren, Carl J and Söderberg, Stefan and Festin, Karin and Angerås, Oskar and Bergström, Göran and Blomberg, Anders and Brandberg, John and Cederlund, Kerstin and Eliasson, Mats and Engström, Gunnar and Erlinge, David and Fagman, Erika and Hagström, Emil and Lind, Lars and Mannila, Maria and Nilsson, Ulf and Oldgren, Jonas and Ostenfeld, Ellen and Persson, Anders and Persson, Jonas and Persson, Margaretha and Rosengren, Annika and Sundström, Johan and Swahn, Eva and Engvall, Jan E and Jernberg, Tomas},
  issn         = {2047-4881},
  language     = {eng},
  month        = {03},
  pages        = {1--12},
  publisher    = {Oxford University Press},
  series       = {European Journal of Preventive Cardiology},
  title        = {Systematic Coronary Risk Evaluation estimated risk and prevalent subclinical atherosclerosis in coronary and carotid arteries : A population-based cohort analysis from the Swedish Cardiopulmonary Bioimage Study},
  url          = {http://dx.doi.org/10.1177/2047487320909300},
  doi          = {10.1177/2047487320909300},
  year         = {2020},
}