[Estimation of coronary heart disease risk in Chilean subjects based on adapted Framingham equations].
BACKGROUND
Cardiovascular disease is the leading cause of morbidity and mortality in Chile and worldwide. Framingham functions were developed to calculate overall coronary heart disease risk. However these functions overestimate the risk in some countries like Chile.


OBJECTIVE
To develop Chilean risk tables to assess the overall 10-year risk of coronary heart disease.


METHODS
The Framingham function was adapted for a population aged 35 to 74 years, based on an estimate of Chilean incidence of coronary heart disease and the prevalence of coronary heart disease risk factors such as age, sex, total cholesterol, high-density lipoprotein cholesterol, blood pressure, diabetes and smoking.


RESULTS
The 10-year incidence of coronary heart disease in Chile (2.7% in men, 1.096 in women) was lower than the incidence in the United States (10.096/3.896) and Spain (4.996/2.296), but higher than China (1.196/0.496). Framingham tables have more than 50% of cells in the risk category of 10% or greater. In contrast, Chilean tables have less than 10% of cells in the same risk category.


CONCLUSIONS
Adapted tables use local information to calculate overall coronary heart disease risk. A validation study should be conducted to assess their predictive power.
Icaza
Gloria
G
Instituto de Matemática y Física, Universidad de Talca, Talca, Chile. gicaza@utalca.cl
Núñez
Loreto
L
Marrugat
Jaume
J
Mujica
Verónica
V
Escobar
M Cristina
MC
Jiménez
Ana Luisa
AL
Pérez
Paulina
P
Palomo
Iván
I
D000328:Adult; D000368:Aged; D002677:Chile / Q000453:epidemiology; D002681:China / Q000453:epidemiology; D003327:Coronary Disease / Q000453:epidemiology* / Q000209:etiology; D048909:Diabetes Complications / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D017678:Sex Distribution; D013030:Spain / Q000453:epidemiology; D014481:United States / Q000453:epidemiology