title: Coronary disease risk assessment in men: Comparison between ASCVD Risk versus Framingham.
abstract: BACKGROUND
  This study evaluated the risk of men developing coronary heart disease and its determinant variables, comparing these results through two validated coronary risk scales.
  
  
  METHODS
  A cross sectional epidemiological analytical study in which data were collected by spontaneous demand, through a semi-structured questionnaire, clinical examination, and blood collection. The Chi-square test, logistic regression and Kappa for statistical analysis were performed.
  
  
  RESULTS
  The study included 637 men. Age was a determining factor (p<0.05) in blood pressure (BP) changes, central obesity, BMI, glycemia, total cholesterol, LDL and triglycerides. From this group of 637, 252 presented BP above the recommended values. It was found that 34.54% of men had high total cholesterol, 19.94% had high LDL, 46.78% presented HDL below normal values and 36.42% had elevated triglycerides. Metabolic syndrome was found in 24.96% of the men. With the Framingham scale, 637 men were evaluated, 12.56% were at intermediate-risk and 5.49% elevated risk, while on the ASCVD Risk scale 553 men were evaluated, and 7.05% had moderate risk and none had high coronary risk. In this study, 50.43% of men still had no previous diagnosis for any disease that increases the risk factors.
  
  
  CONCLUSIONS
  The determinant clinical variables were age, blood pressure, smoking, central obesity, race and education. The Framingham scale allowed the assessment of cardiac risk of all men in the study, with no age restriction or cholesterol value, so in population studies it shows advantages over the ASCVD Risk due to its comprehensive feature of including all individuals.
authors.affiliation: Graduate Program in Bioscience and Pathophysiology of the State University of Maringa, Maringa, Parana, Brazil.; Life Sciences Center nursing course at the State University of Northern Paraná, Campus Luiz Meneghel, Bandeirantes, Paraná, Brazil. Electronic address: natyguerra@uenp.edu.br.
authors.forename: Natália Maria Maciel
authors.initials: NM
authors.lastname: Guerra-Silva
authors.affiliation: Life Sciences Center nursing course at the State University of Northern Paraná, Campus Luiz Meneghel, Bandeirantes, Paraná, Brazil.
authors.forename: Fernanda Sene
authors.initials: FS
authors.lastname: Santucci
authors.affiliation: Life Sciences Center nursing course at the State University of Northern Paraná, Campus Luiz Meneghel, Bandeirantes, Paraná, Brazil.
authors.forename: Ricardo Castanho
authors.initials: RC
authors.lastname: Moreira
authors.affiliation: Life Sciences Center nursing course at the State University of Northern Paraná, Campus Luiz Meneghel, Bandeirantes, Paraná, Brazil.
authors.forename: Cristiano
authors.initials: C
authors.lastname: Massao Tashima
authors.affiliation: Life Sciences Center nursing course at the State University of Northern Paraná, Campus Luiz Meneghel, Bandeirantes, Paraná, Brazil.
authors.forename: Simone Cristina Castanho Sabaini
authors.initials: SC
authors.lastname: de Melo
authors.affiliation: Faculty of Pharmaceutical Sciences, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
authors.forename: Leonardo Regis Leira
authors.initials: LR
authors.lastname: Pereira
authors.affiliation: Graduate Program in Bioscience and Pathophysiology of the State University of Maringa, Maringa, Parana, Brazil.
authors.forename: Debora
authors.initials: D
authors.lastname: de Mello Gonçales Sant'Ana
mesh_terms: D001938:Brazil / Q000453:epidemiology; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D003430:Cross-Sectional Studies; D050171:Dyslipidemias / Q000150:complications; D042241:Early Diagnosis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications; D015995:Prevalence; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D011795:Surveys and Questionnaires
keywords: Early diagnosis; Heart diseases; Hypertension; Men's health