title: [Distribution of coronary risk in the population].
abstract: Of all cardiovascular deaths, those from coronary origin are preponderant. Therefore the reduction of cardiovascular mortality requires improving substantially coronary prevention. Three categories of coronary risk (probability of hard coronary event at 10 years; low <10%, intermediate 10 to 20%, high > 20%) are identifiable via scoring procedure integrating multiple traditional risk factors. Risk is also high, independent of score value, in the case of coexisting major risk factor (diabetes, severe hypertension or hypercholesterolemia) and/or clinically overt coronary, peripheral or cerebral vascular disease. The knowledge of the distribution of coronary risk categories within the population allows defining preventives strategies and estimating needs and costs. Such distribution is pyramidal with the majority of the population at low or intermediate risk while only 15% at high risk. Although largely in minority, the latter convey an important proportion of coronary accidents so justifying the priority given to detection and intensive treatment of high coronary risk condition.
authors: AP-HP, hôpital européen Georges-Pompidou, centre de médecine préventive cardiovasculaire. alain.simon@egp.aphp.fr
authors: Alain
authors: A
authors: Simon
mesh_terms: D003327:Coronary Disease / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications / Q000453:epidemiology / Q000628:therapy; D006973:Hypertension / Q000150:complications / Q000453:epidemiology / Q000628:therapy; D008954:Models, Biological; D011153:Population; D012307:Risk Factors