The Prevalence Of 10-year Cardiovascular Risk To 4 Different Risk Assessment Models In People Aged 40 And Older In Guiyang City

Objective: To investigate the differences of cardiovascular risk assessment models in evaluation of 10-year cardiovascular risk assessment.Methods: A total of 10140 adults aged 40 and over were selected from Guiyang urban area for this population based cross-sectional study.Data were obtained by questionnaire survey,physical examination and biochemical examinations and were evaluated by China-PA R(Prediction for ASCVD risk in China),Pooled cohort equations(PCE)reported in the American College of Cardiology/American Heart Association(ACC/AHA),System matic Coronary Risk Evaluation and Framingham approach.Results:(1)Mean cardiovascular risks were 4.04%,14.15%,6.58%,10.73% in men and 1.52%,4.74%,1.57% and 2.22% in women based on China-PAR,PCE,SCORE equation for low-risk European countries and Framingham approach respectively.(2)The average risk men in 40-74,40-59,60-74 age groups were higher than that of women.(3)The average risk were lower for PCE,Framingham,SCORE and China-PAR respectively,and the overall average risk was 1.83%,7.20%,2.72%,4.39% respectively.(4)In the low risk group with ICVD 10 years old and over 40 years old,the proportion was 87.8%,65.7%,29.6% and 82.3%,and were 79.8%,28.7%,5.5%,37.8% in men and 91.6%,80.5%,36.8%,97.6% in women based on China-PAR,PCE,SCORE equation for low-risk European countries and Framingham approach respectively.In the middle risk group with ICVD 10 years old and over 40 years old,the proportion was 12.5%,53.8%,51.9% and were 12.5%,53.8%,51.9% in men and 7.1%,61.8%,2.3% in women based on China-PAR,PCE,SCORE and Framingham approach respectively.In the high risk group with ICVD 10 years old and over 40 years old,the proportion was 3.0%,34.3%,8.6%,2.7% and were 7.7%,71.3%,32.3%,10.3% in men and 1.2%,19.5%,1.5%,0.1% in women based on China-PAR,PCE,SCORE equation for low-risk European countries and Framingham approach respectively.Conclusion: The prevalence of the 10-year ICVD average risks with four models was evidently different.Highest risks were estimated by PCE model than the other guidelines.China-PAR model might be an appropriate tool for risk assessment and primary prevention of ICVD in China.