Family history is important in estimating coronary risk

doi:10.1136/bmj.321.7258.448

BMJ 2000;321:448 ( 12 August )

Letters

Family history is important in estimating coronary risk

The first 150 words of the full text of this article appear below.

EDITOR $---$ The new Sheffield table and its alternatives make little use of a cardinal risk factor that is easy to assess.¹A family history of coronary artery disease, especially when premature,is a powerful and independent indicator of a person's risk. Failureto include this element will cause these tables to underestimatethe 10 year risk of cardiovascular disease and cannot be correctedfor by simply adding six years to the patient's age, as suggestedin the Sheffield table. The increase in risk depends on the exactdetails of the family history and the patient's age andsex.

The GISSI-EFRIM investigators (Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto-Epidemiologia dei Fattori diRischio dell'Infarto Miocardico) showed that a family historyof myocardial infarction is an independent risk factor for myocardialinfarction, with the number of relatives and the age at whichthey were affected influencing the strength of the association.². . . [Full text of this article]

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

Technorati What's this?

Coronary and cardiovascular risk estimation for primary prevention: validation of a new Sheffield table in the 1995 Scottish health survey population: Erica J Wallis, Lawrence E Ramsay, Iftikhar Ul Haq, Parviz Ghahramani, Peter R Jackson, Karen Rowland-Yeo, and Wilfred W Yeo
BMJ 2000 320: 671-676. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

Gilliland, F. D., Berhane, K., Islam, T., McConnell, R., Gauderman, W. J., Gilliland, S. S., Avol, E., Peters, J. M. (2003). Obesity and the Risk of Newly Diagnosed Asthma in School-age Children. Am J Epidemiol 158: 406-415 [Abstract] [Full text]
Bankhead, C., Emery, J., Qureshi, N., Campbell, H., Austoker, J., Watson, E. (2001). New developments in genetics--knowledge, attitudes and information needs of practice nurses. Fam Pract 18: 475-486 [Abstract] [Full text]