Adaptación española de la Guía Europea de Prevención Cardiovascular

Estimating Cardiovascular Risk in Spain by the European Guidelines on Cardiovascular Disease Prevention in Clinical Practice

“…3 In Spain, the Spanish Committee for Cardiovascular Disease Prevention and the Spanish Society of Cardiology recommend the use of the Systematic Coronary Risk Evaluation (SCORE). 4 However, calculation of cardiovascular risk (CVR) based on a calibrated Framingham scale by REGICOR (Registre Gironı´del Cor) is also a popular strategy used in Spain. 5,6 Relative risk of CVD is higher in high-risk individuals compared with those at low/moderate risk.…”

Application of the SCORE and Wilson-Grundy methods for the assessment of cardiovascular risk in community pharmacies

“…This study, in accordance with similar studies (10, 11, 14–16), indicates that the SCORE system overestimates CVDR in older male patients than using models based on the Framingham equation. This raises concerns about its use for estimating the cardiovascular risk of the Spanish population (1, 3, 8). However, which method is a better predictor of cardiovascular events remains to be determined.…”

“…For the participating patients, the pharmacist required information on the diseases, which the patients acknowledged having, and on prescribed medications. The CVDR of the patients was assessed using both the method recommended by the Spanish Interdisciplinary Committee of Cardiovascular Prevention (3) (the SCORE system) (7, 8) and the method based on the Wilson–Grundy tables (based on the Framingham study) adapted for Spain (1, 5, 6), using the value of total cholesterol and the average values of HDLc of the Spanish population (49 mg / dL in men and 59 mg / dL in women).…”

“…The global assessment of CVDR divides patients into different risk groups (high, intermediate or low) (3). There are several methods proposed for the assessment of CVDR, most of them based on the results of the follow‐up studies of the population of Framingham city, MA, USA (4).…”

“…Adaptation consists of establishing an equivalence between the coronary risk of ‘hard’ events (death by a coronary cause, non‐fatal myocardial infarction and unstable angina) as indicated in the original Framingham tables, and the absolute CVDR of the Spanish population. Subsequently, the Spanish Interdisciplinary Committee for the Prevention of Cardiovascular Disease (3), has adopted the guidelines of the European Society of Cardiology (7), and adapted them to Spain, as the SCORE model for low risk population (8). However, due to significant and contradictory differences in the results obtained using the SCORE and Framingham methods (9–11), there is confusion as to which method is best.…”