title: 10-year risk for atherosclerotic cardiovascular disease and coronary heart disease among Korean adults: findings from the Korean National Health and Nutrition Examination Survey 2009-2010.
abstract: BACKGROUND
  This study examined the distribution of the 10-year risk for development of atherosclerotic cardiovascular disease (ASCVD) and coronary heart disease (CHD), and the proportion of participants eligible for lipid management, in the Korean population.
  
  
  METHODS
  The risk was estimated using the Pooled Cohort Equations for non-Hispanic Whites and the Adult Treatment Panel (ATP) III equations. Eligibility for lipid-lowering treatment was assessed using the American College of Cardiology/American Heart Association Blood Cholesterol Guideline and the ATP III recommendation. Complex sampling design and area under the receiver operator characteristic curve (AUC) were used.
  
  
  RESULTS
  Among 7594 ASCVD-free Korean adults, aged 40-79 years, 31.3% (men, 44.1%; women, 19%) had a 10-year risk for an ASCVD event of ≥ 7.5%, and 27.1% (men, 39.4%; women, 15.2%) had a 10-year risk for a CHD event of ≥ 10%. These proportions differed according to age groups, ranging from 6.1 to 91.9% and 8.7 to 58.7% for patients in their 40s-70s, using the ASCVD and CHD risk estimations, respectively. Overall, 78.7% of individuals remain in the same risk stratum. Those eligible for lipid management included 32.8% of the participants using the ACC/AHA Guideline and 11.9% of those using the ATP III recommendation. In discriminating ASCVD, AUCs for the ASCVD risk assessment method and the CHD risk assessment method were 0.70 and 0.64, respectively (P<0.001).
  
  
  CONCLUSIONS
  The distribution of 10-year ASCVD and CHD risk was different according to the risk assessment methods.
authors.affiliation: Department of Family Medicine, Inje University, Busan Paik Hospital, Bokjiro 75, Busan Jin-gu, Busan 633-165, South Korea. Electronic address: kayoung.fmlky@gmail.com.
authors.forename: Kayoung
authors.initials: K
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People / Q000208:ethnology*; D050197:Atherosclerosis / Q000175:diagnosis / Q000208:ethnology / Q000628:therapy; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000208:ethnology / Q000628:therapy; D015331:Cohort Studies; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000208:ethnology* / Q000628:therapy; D003327:Coronary Disease / Q000175:diagnosis / Q000208:ethnology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys / Q000379:methods / Q000639:trends*; D012307:Risk Factors; D013997:Time Factors
keywords: Atherosclerotic cardiovascular disease; Coronary heart disease; Lipid-lowering; Risk