Document Detail

Cardiovascular risk assessment of Bulgarian urban population: cross-sectional study.
MedLine Citation:
PMID:  19090603     Owner:  NLM     Status:  MEDLINE    
AIM: To assess the total cardiovascular risk of the Bulgarian urban population. METHODS: A representative sample of Bulgarian urban population (n=3810, response rate 68.3%) from five Bulgarian cities was included in a cross-sectional observation study performed in the period 2005-2007. A detailed cardiovascular risk assessment was performed by general practitioners and a total 10-year risk of a fatal cardiovascular event was estimated according to the European Systematic Coronary Risk Evaluation (SCORE, HeartScore. RESULTS: There were 48.7% of participants in the high risk group (SCORE > or =5%), 24.3% aged 45-54 and more than half aged 55-64 years. Nearly a quarter of the sample had a total cardiovascular risk of over 10% (SCORE > or =10%), whereas 10.1% of the sample had excessively high cardiovascular risk (SCORE > or =15%). In the 65-75 age group, the prevalence of men with excessively high risk was 46.6%, compared with 6.0% in women (P<0.001). Most of the main cardiovascular risk factors were slightly increased or borderline in comparison with clinical thresholds. CONCLUSIONS: Cardiovascular risk is high in a large proportion of Bulgarian urban population, especially in men aged over 65. These findings indicate that a comprehensive national strategy and program for management of cardiovascular diseases is urgently needed. The SCORE method can be well implemented if a higher threshold for a high risk group is defined and smaller target population is planned for extensive and expensive high risk preventive measures.
Mariana Dyakova; Elena Shipkovenska; Peter Dyakov; Plamen Dimitrov; Svetla Torbova
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Croatian medical journal     Volume:  49     ISSN:  1332-8166     ISO Abbreviation:  Croat. Med. J.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-18     Completed Date:  2009-03-30     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9424324     Medline TA:  Croat Med J     Country:  Croatia    
Other Details:
Languages:  eng     Pagination:  783-91     Citation Subset:  IM    
Department of preventive medicine, Faculty of Public Health, Medical University-Sofia, 8 Bialo more str., Sofia, Bulgaria.
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MeSH Terms
Bulgaria / epidemiology
Cardiovascular Diseases / epidemiology*
Cross-Sectional Studies
Middle Aged
Risk Assessment
Urban Population*

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