Strategies for treating lipids for prevention: risk stratification models with and without imaging.
Cardiovascular disease (CVD) remains the leading cause of mortality both in the United States and worldwide. Traditional risk factors are essential to CVD risk prediction and explain a significant portion of the between-population and between-individual variance in CVD. Nonetheless, due to the large size of the group, a substantial portion of cardiovascular events occur in individuals predicted to be at low risk based on traditional risk factor models such as the Framingham risk score. The problem is that by disregarding this low risk group, a significant proportion of events are ignored and deemed 'unpreventable'. As such, it is imperative to find new ways to improve CVD risk prediction and thereby apply preventive measures to persons more likely to develop 'preventable' disease. Focus has consequently shifted towards identification of novel markers to improve cardiovascular risk prediction. We review the role of various risk stratification models, and assess the incorporation of imaging markers to guide treatment for lipids in prevention of CVD.
Division of Cardiology, Wayne State University, Detroit Medical Center, Detroit, MI, USA. Electronic address: tokwuosa@med.wayne.edu.
Tochi M
TM
Okwuosa
Department of Internal Medicine, Wayne State University, Detroit Medical Center, Detroit, MI, USA.
Sagar
S
Mallikethi-Reddy
Division of Cardiology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Donald M Lloyd
DM
Jones
D000465:Algorithms; D015415:Biomarkers / Q000097:blood; D002318:Cardiovascular Diseases / Q000097:blood / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control*; D003952:Diagnostic Imaging / Q000379:methods; D050171:Dyslipidemias / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008055:Lipids / Q000097:blood; D015233:Models, Statistical; D018570:Risk Assessment
D015415:Biomarkers; D008055:Lipids
cardiovascular disease; cholesterol; coronary heart disease; imaging; lipid; novel marker; risk assessment