AHA/ACC Scientific Statement:Assessment of Cardiovascular Risk by Use of Multiple-Risk-Factor Assessment Equations

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GRUNDY ET AL., Assessment of Cardiovascular Risk
J Am Coll Cardiol 1999;34:1348--59

AHA/ACC Scientific Statement: Assessment of Cardiovascular Risk by Use of Multiple-Risk-Factor Assessment Equations

A Statement for Healthcare Professionals From the American Heart Association and the American College of Cardiology

III. Primary Versus Secondary Prevention

The present report focuses mainly on risk assessment for coronary disease and not on risk for other cardiovascular outcomes. Framingham scores estimate risk for persons without clinical manifestations of CHD.² Therefore, the scores apply only to primary prevention, ie, to prevention in persons without established CHD. Once coronary atherosclerotic disease becomes clinically manifest, the risk for future coronary events is much higher than that for patients without CHD,⁶ regardless of other risk factors, and in this case, Framingham scoring no longer applies. The AHA and ACC have issued joint guidelines for the management of risk factors for patients with established CHD and other forms of atherosclerotic disease.¹

American College of Cardiology

Helping Cardiovascular Professionals Learn. Advance. Heal.

GRUNDY ET AL., Assessment of Cardiovascular Risk J Am Coll Cardiol 1999;34:1348--59