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Cardiovascular risk assessment of Bulgarian urban population : cross-sectional study
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Dyakova, Mariana, Shipkovenska, Elena, Dyakov, Peter, Dimitrov, Plamen and Torbova, Svetla (2008) Cardiovascular risk assessment of Bulgarian urban population : cross-sectional study. Croatian Medical Journal, Vol.49 (No.6). pp. 783-791. doi:10.3325/cmj.2008.49.783 ISSN 0353-9504.
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Official URL: http://dx.doi.org/10.3325/cmj.2008.49.783
Abstract
To assess the total cardiovascular risk of the Bulgarian urban population.
Methods
A representative sample of Bulgarian urban population (n=3810, response rate 68.3%) from five Bulgarian cities was inlcuded in a cross-sectional observation study performed in 2005-2007. A detailed cardiovascular risk assessment was performed by general practitioners and a total 10-year risk of a fatal cardiovascular event was estimated according to the European Systematic Coronary Risk Evaluation (SCORE, HeartScore®).
Results
There were 48.7% of participants in the high risk group (SCORE≥5%), 24.3% aged 45-54 and more than half aged 55-64 years. Nearly a quarter of the sample had a total cardiovascular risk of over 10% (SCORE≥10%), whereas 10.1% of the sample had excessively high cardiovascular risk (SCORE≥15%). In the 65-75 age group, the prevalence of men with excessively high risk was 46.6%, compared with 6.0% in women (P<0.001). Most of the main cardiovascular risk factors were slightly increased or borderline in comparison with clinical thresholds.
Conclusions
Cardiovascular risk is high in a large proportion of Bulgarian urban population, especially in men aged over 65. These findings indicate that a comprehensive national strategy and program for management of cardiovascular diseases is urgently needed. The SCORE method can be well implemented if a higher threshold for a high risk group is defined and smaller target population is planned for extensive and expensive high risk preventive measures.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Croatian Medical Journal | ||||
Publisher: | Medicinska Naklada Co. | ||||
ISSN: | 0353-9504 | ||||
Official Date: | 2008 | ||||
Dates: |
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Volume: | Vol.49 | ||||
Number: | No.6 | ||||
Page Range: | pp. 783-791 | ||||
DOI: | 10.3325/cmj.2008.49.783 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published |
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