Multifactorial approach to the prevention of coronary heart disease: from computer to paper and pencil?
BACKGROUND
In Europe the multifactorial clinical approach to the prevention of coronary heart disease is based on the Framingham equation presented in graphical form including age, sex, level of total serum cholesterol, systolic blood pressure and smoking.


OBJECTIVE
To propose a straightforward paper-and-pencil score (Global Coronary Risk Score) including level of high-density lipoprotein cholesterol for the Belgian or more broadly western European population derived from 10-year follow-up mortality of a Belgian national population sample.


RESULTS
This score has the same predictive power as the Framingham equation both for men aged 35-74 years and for women aged 50-74 years. It gives a ranking of subjects into four groups according to their relative risks.


CONCLUSIONS
Coronary Risk Score is user friendly and probably has pedagogical virtues.
Kornitzer
M
M
Free University of Brussels, School of Public Health, Laboratory of Epidemiology and Social Medicine, Belgium. mkornit@ulb.ac.be
Koyunco
R
R
D000328:Adult; D000367:Age Factors; D000368:Aged; D002784:Cholesterol / Q000097:blood; D008076:Cholesterol, HDL / Q000097:blood; D003327:Coronary Disease / Q000097:blood / Q000401:mortality / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012306:Risk; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000009:adverse effects
D008076:Cholesterol, HDL; D002784:Cholesterol