New Issues in the Screening and Prevention of Cardiovascular Disease
The prevention of cardiovascular disease is optimized by blood pressure control, weight management, and tobacco cessation in addition to the reduction of elevated serum lipids. Even greater risk reduction can be obtained in some patients by the use of aspirin to prevent cardiovascular morbidity and mortality.
The United States Preventive Services Task Force strongly recommends that clinicians discuss the benefits of aspirin for the prevention of cardiovascular disease with their patients. It gave chemoprophylaxis with aspirin an “A” rating for patients with a greater than 3% 5-year risk of having a cardiovascular event . It is important to note that the Framingham criteria computes 10-year risk, so it must be multiplied by 0.5 to get the 5-year risk.
As a general rule-of-thumb, most 40-year-old men and 50-year-old women will benefit from aspirin therapy. An important gender-specific clarification of this benefit was noted in 2006. Men have reduced cardiovascular...
KeywordsCoronary Calcium Score Electron Beam Compute Tomography Risk Factor Assessment Clinical Outcome Study Future Coronary Event
- 1.Recommendations of the U.S. Preventive Services Task Force: The Guide to Clinical Preventive Services, 2005. AHRQ Pub. 05-0570, pp 55–59.Google Scholar
- 3.American Heart Association. Primary Prevention in the Adult. 2003. Available at http://www.americanheart.org/presenter.jhtml?identifier=4704. Accessed on December 18, 2006.
- 14.ACCF/AHA Writing Committee. ACCF/AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain. Circulation 2007;115:402–426.Google Scholar