International Society of Hypertension

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Adding carotid total plaque area (TPA) to the Framingham risk score improves cardiovascular risk classification.

Perez HA, Garcia NH, Spence JD, Armando LJ. Arch Med Sci. 2016 Jun 1;12(3):513-20. doi: 10.5114/aoms.2016.59924. Epub 2016 May 18.

Hernan Perez (Argentina)

1) Summarize your work in one sentence.

This research shows the improvement in the classification of ischemic cardiovascular risk, shown through the post test with Total Carotid Plaque Area, in comparison to the Framingham Score.

2) Summarize your findings in one sentence.

We find that 36% of the patients were re-classified as having a higher cardiovascular risk score while 13.6% a lower score.

3) What were the most important methods you used in this work? If it is not a traditional method you can briefly explain the concept of that methodology.

Methodologically, as a novelty, we determined the Framingham score based on BMI, and it was adjusted by the total plaque área of carotid atherosclerosis estimated by carotid echocardiography.

4) What did you learn from this paper, what was your take-home message?

By using the total plaque área of carotid atherosclerosis and the BMI Framingham score we can improve the patient cardiovascular risk stratification. This reclassification would improve the long-term benefits related to cardiovascular events prevention.


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