[Prevention of ischemic heart disease. Testing of three different methods for prediction of the risk of developing ischemic heart disease].
BACKGROUND
The purpose of this evaluation was to compare estimation of risk of IHD, according to PRECARD and guidelines from DSAM and DCS.


METHODS
The evaluation was performed in a general practice setting with relatively few elderly patients. Fifty consecutive patients were evaluated, 29 men and 21 women. Thirty-four patients were evaluated according to the physician's assessment and 16 according to the wishes of the patients.


RESULTS
Four persons with definite ischaemic heart disease were included. According to DSAM, a further eight persons were found to have a > 20% risk of developing IHD. According to DCS, ten persons and to PRECARD three persons had a > 20% risk.


CONCLUSIONS
Evaluation with PRECARD gives a more precise estimation than do DSAM and DCS. PRECARD uses the same risk factors as DSAM and DCS, but the HDL level and height/weight are also included. In addition, PRECARD estimates the risk of AMI, stroke, and fatal events, as well as the most important risk factors. PRECARD is recommended for use in general practice.
Heebøll-Nielsen
Niels C
NC
D000328:Adult; D000368:Aged; D002784:Cholesterol / Q000097:blood; D005194:Family Practice; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects
D002784:Cholesterol