Coronary heart disease risk factors: Difference between revisions
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==Overview== | ==Overview== | ||
==Risk | ==Risk Equivalents in Primary Prevention== | ||
You are essentially considered to have the equivalent of coronary heart disease if you have any of the following: | |||
*[[Aortic aneurysm]] | |||
*[[Diabetes]] | |||
*[[Framingham Risk Score]] ([[FRS]]) of > 20% | |||
*[[Peripheral vascular disease]] ([[PVD]]) (defined as [[claudication]], an [[Ankle Brachial Index]] ([[ABI]]) of < 0.9) | |||
*Symptomatic [[carotid artery disease]] (defined as prior [[stroke]] or [[TIA]]) | |||
==CV Risk Factors in the Setting of Primary Prevention== | |||
* [[Cigarette smoking]] | |||
* | * Family history of premature [[coronary artery disease]] ([[CAD]]) | ||
* | * High [[LDL]] (defined as LDL > 130 mg /dl) | ||
* | * [[Hypertension]] ( defined as a BP ≥140/90 mm Hg or if the patient is on antihypertensive drugs) | ||
* [[ | * Low [[HDL]] (defined as HDL < 40 mg/dL males, < 50 mg/dL in females) | ||
* | * Older Age (men ≥45 years old; women ≥55 years old) | ||
== Complete List of Cardiac Risk Factors == | == Complete List of Cardiac Risk Factors == | ||
In alphabetical order | In alphabetical order: <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | ||
* ACE DD genotype | * [[ACE]] DD genotype | ||
* Age | * Age | ||
*:* Men > 45 | *:* Men > 45 | ||
*:* Women > 45 (early [[menopause]]) | *:* Women > 45 (early [[menopause]]) | ||
*:* Women > 55 (normal onset [[menopause]]) | *:* Women > 55 (normal onset [[menopause]]) | ||
* [[Chronic Renal Failure]] | * [[Chronic Renal Failure]] | ||
* [[Cigarette smoking]] | * [[Cigarette smoking]] | ||
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* [[Immunosuppressive posttransplant]] | * [[Immunosuppressive posttransplant]] | ||
* Increased [[apolipoprotein B]] | * Increased [[apolipoprotein B]] | ||
* Increased [[ | * Increased [[C-reactive protein]] | ||
* Increased [[ | * Increased [[Fibrinogen|fibrinogen]] | ||
* [[Infection]]s | * [[Infection]]s | ||
* [[Insulin resistance]] syndrome | * [[Insulin resistance]] syndrome | ||
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* [[LDL cholesterol]] < 40 mg/dl | * [[LDL cholesterol]] < 40 mg/dl | ||
* [[Low birth weight]] | * [[Low birth weight]] | ||
* [[Metabolic syndrome]] | |||
* [[Obesity]] | * [[Obesity]] | ||
* [[Oral contraceptive]] use | * [[Oral contraceptive]] use | ||
* [[Sedentary living]] | * [[Sedentary living]] | ||
* [[Syndrome X]] | * [[Syndrome X]] | ||
* | * Type A personality | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 02:46, 1 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Risk Equivalents in Primary Prevention
You are essentially considered to have the equivalent of coronary heart disease if you have any of the following:
- Aortic aneurysm
- Diabetes
- Framingham Risk Score (FRS) of > 20%
- Peripheral vascular disease (PVD) (defined as claudication, an Ankle Brachial Index (ABI) of < 0.9)
- Symptomatic carotid artery disease (defined as prior stroke or TIA)
CV Risk Factors in the Setting of Primary Prevention
- Cigarette smoking
- Family history of premature coronary artery disease (CAD)
- High LDL (defined as LDL > 130 mg /dl)
- Hypertension ( defined as a BP ≥140/90 mm Hg or if the patient is on antihypertensive drugs)
- Low HDL (defined as HDL < 40 mg/dL males, < 50 mg/dL in females)
- Older Age (men ≥45 years old; women ≥55 years old)
Complete List of Cardiac Risk Factors
In alphabetical order: [1] [2]
- ACE DD genotype
- Age
- Chronic Renal Failure
- Cigarette smoking
- Decreased apolipoprotein A1
- Decreased serum folate
- Diabetes Mellitus
- Family history of premature coronary artery disease
- HDL cholesterol > 130 mg/dl
- Hyperhomocysteinemia
- Hypertension
- Hypertriglyceridemia
- Immunosuppressive posttransplant
- Increased apolipoprotein B
- Increased C-reactive protein
- Increased fibrinogen
- Infections
- Insulin resistance syndrome
- Lack of supportive primary relationship
- LDL cholesterol < 40 mg/dl
- Low birth weight
- Metabolic syndrome
- Obesity
- Oral contraceptive use
- Sedentary living
- Syndrome X
- Type A personality