Context : We devised a risk appraisal function to assess the hazard of heart failure in persons who are predisposed by coronary disease, hypertension, or valvular heart disease.
To provide general practitioners and internists with a cost-effective method to select people at high risk who are likely to have impaired left ventricular systolic function and may therefore require further evaluation and aggressive preventive measures.
The routinely measured risk factors used in constructing the heart failure profile include age, electrocardiographic left ventricular hypertrophy, cardiomegaly on chest x-ray film, heart rate, systolic blood pressure, vital capacity, diabetes mellitus, evidence of myocardial infarction, and valvular disease or hypertension.
Based on 486 heart failure cases during 38 years of follow-up, 4-year probabilities of failure were computed using the pooled logistic regression model for each sex ; a simple point score system was employed.
A multivariate profile was also produced without the vital capacity or chest x-ray film because these may not be readily available in some clinical settings.
Using the risk factors that make up the multivariate risk formulation-derived from ordinary office procedures-the probability of developing heart failure can be estimated and compared with the average risk for persons of the same age and sex. (...)
Mots-clés Pascal : Insuffisance cardiaque, Détermination, Facteur risque, Prédisposition, Etude statistique, Homme, Appareil circulatoire pathologie, Cardiopathie, Biomathématique
Mots-clés Pascal anglais : Heart failure, Determination, Risk factor, Predisposition, Statistical study, Human, Cardiovascular disease, Heart disease, Biomathematics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0353190
Code Inist : 002B12A01. Création : 14/12/1999.