scholarly journals New risk prediction model of coronary heart disease in participants with and without diabetes: Assessments of the Framingham risk and Suita scores in 3-year longitudinal database in a Japanese population

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Hiroyuki Hirai ◽  
Koichi Asahi ◽  
Satoshi Yamaguchi ◽  
Hirotaka Mori ◽  
Hiroaki Satoh ◽  
...  
PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12259
Author(s):  
Qian Wang ◽  
Wenxing Li ◽  
Yongbin Wang ◽  
Huijun Li ◽  
Desheng Zhai ◽  
...  

Background Coronary heart disease (CHD) is a common cardiovascular disease with high morbidity and mortality in China. The CHD risk prediction model has a great value in early prevention and diagnosis. Methods In this study, CHD risk prediction models among rural residents in Xinxiang County were constructed using Random Forest (RF), Support Vector Machine (SVM), and the least absolute shrinkage and selection operator (LASSO) regression algorithms with identified 16 influencing factors. Results Results demonstrated that the CHD model using the RF classifier performed best both on the training set and test set, with the highest area under the curve (AUC = 1 and 0.9711), accuracy (one and 0.9389), sensitivity (one and 0.8725), specificity (one and 0.9771), precision (one and 0.9563), F1-score (one and 0.9125), and Matthews correlation coefficient (MCC = one and 0.8678), followed by the SVM (AUC = 0.9860 and 0.9589) and the LASSO classifier (AUC = 0.9733 and 0.9587). Besides, the RF model also had an increase in the net reclassification index (NRI) and integrated discrimination improvement (IDI) values, and achieved a greater net benefit in the decision curve analysis (DCA) compared with the SVM and LASSO models. Conclusion The CHD risk prediction model constructed by the RF algorithm in this study is conducive to the early diagnosis of CHD in rural residents of Xinxiang County, Henan Province.


2017 ◽  
Vol 125 ◽  
pp. 02071 ◽  
Author(s):  
Jostinah Lam ◽  
Eko Supriyanto ◽  
Faris Yahya ◽  
Muhammad Haikal Satria ◽  
Suhaini Kadiman ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Ying Dong ◽  
Yajun Shi ◽  
Jinli Wang ◽  
Qing Dan ◽  
Ling Gao ◽  
...  

Background. Sudden cardiac death is a leading cause of death from coronary heart disease (CHD). The risk of sudden cardiac death (SCD) increases with age, and sudden arrhythmic death remains a major cause of mortality in elderly individuals, especially ventricular arrhythmias (VA). We developed a risk prediction model by combining ECG and other clinical noninvasive indexes including biomarkers and echocardiology for VA in elderly patients with CHD. Method. In the retrospective study, a total of 2231 consecutive elderly patients (≥60 years old) with CHD hospitalized were investigated, and finally 1983 patients were enrolled as the model group. The occurrence of VA within 12 months was mainly collected. Study parameters included clinical characteristics (age, gender, height, weight, BMI, and past medical history), ECG indexes (QTcd, Tp-e/QT, and HRV indexes), biomarker indexes (NT-proBNP, Myo, cTnT, CK-MB, CRP, K+, and Ca2+), and echocardiology indexes. In the respective study, 406 elderly patients (≥60 years old) with CHD were included as the verification group to verify the model in terms of differentiation and calibration. Results. In the multiparameter model, seven independent predictors were selected: LVEF, LAV, HLP, QTcd, sex, Tp-e/QT, and age. Increased HLP, Tp-e/QT, QTcd, age, and LAV were risk factors (RR > 1), while female and increased LVEF were protective factors (RR < 1). This model can well predict the occurrence of VA in elderly patients with CHD (for model group, AUC: 0.721, 95% CI: 0.669∼0.772; for verification group, AUC: 0.73, 95% CI: 0.648∼0.818; Hosmer–Lemeshow χ 2  = 13.541, P = 0.095 ). After adjusting the predictors, it was found that the combination of clinical indexes and ECG indexes could predict VA more efficiently than using clinical indexes alone. Conclusions. LVEF, LAV, QTcd, Tp-e/QT, gender, age, and HLP were independent predictors of VA risk in elderly patients with CHD. Among these factors, the echocardiology indexes LVEF and LAV had the greatest influence on the predictive efficiency of the model, followed by ECG indexes, QTcd and Tp-e/QT. After verification, the model had a good degree of differentiation and calibration, which can provide a certain reference for clinical prediction of the VA occurrence in elderly patients with CHD.


2019 ◽  
Vol 276 ◽  
pp. 87-92 ◽  
Author(s):  
Vivan J.M. Baggen ◽  
Esmee Venema ◽  
Renata Živná ◽  
Annemien E. van den Bosch ◽  
Jannet A. Eindhoven ◽  
...  

2010 ◽  
Vol 88 (3) ◽  
pp. 314-321 ◽  
Author(s):  
Janice C. Zgibor ◽  
Kristine Ruppert ◽  
Trevor J. Orchard ◽  
Sabita S. Soedamah-Muthu ◽  
John Fuller ◽  
...  

Author(s):  
Vijay Bhagat ◽  
Shubhangi Baviskar ◽  
Abhay B. Mudey ◽  
Ramachandra Goyal

Background: Considering the complex interaction of risk factors in causation of CVD; assessment of vascular ageing among the high risk group through non-interventional statistical models was useful in controlling CVD. While, many CVD risk assessment models were especially designed for application in the specific population or region such as SCORE scales for Europeans, ASSIGN scores for people of Scotland. The Framingham Risk Score were modified, validated and used in several countries. Though Indians have significantly higher predilection for CVD, no indigenous scores were developed or validated to assess the CV risk. The objective of the study were to determine vascular age of the study participants using Framingham risk prediction model, to assess its relationship with development of cardiovascular disease and to develop, validate and compare cardiovascular risk prediction model based on the follow up observations of the study participants.Methods: Community based cohort study will be conducted in large urban and rural population aged 31-60 years of age those who have no evidence of CVD. The study population will be followed up for three years and will be assessed for development of CVD. The vascular age will be determined using Framingham Risk Scores. Based on the risk factors associated with occurrence of CVD during the study period, the risk prediction model will be designed and tested for validity and accuracy. Results: The newly developed CVD risk prediction will be more accurate in assessment of CV risk among the study subjects. Conclusions: The newly developed and validated CV risk prediction model specific for Indians may be one of the first prospective CV risk assessment cohort study. 


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