Risk Estimation by Disease Status
- Among patients with atherothrombosis, those with a prior history of coronary events at baseline (n = 21,890) had the highest rate of subsequent ischemic events in 4 years (18%).
- Patients with stable coronary, cerebrovascular, or peripheral artery disease (n = 15,264) had a lower risk (12%).
- Patients without established atherothrombosis but with risk factors only (n = 8073) had the lowest risk (9%).
- The presence of diabetes increased the risk by 44%, and coronary events event in the previous year increased the risk by 71%, and polyvascular disease increased the risk by 99%; each were associated with a significantly higher risk of the primary end point.
- Thus clinical descriptors can assist clinicians in identifying high-risk patients within the broad range of risk for outpatients with atherothrombosis.1
Sources
1. Bhatt DL, Eagle KA, Ohman EM, et al. Comparative determinants of 4-year cardiovascular event rates in stable outpatients at risk of or with atherothrombosis. JAMA. Sep 22 2010;304(12):1350-1357.