0
Editorial |

Challenges to Improve Coronary Heart Disease Risk Assessment

Peter W. F. Wilson, MD
JAMA. 2009;302(21):2369-2370. doi:10.1001/jama.2009.1765.
Text Size: A A A
Published online

Extract

Coronary heart disease (CHD) is common and includes the diagnoses angina pectoris, myocardial infarction, and coronary disease death. Predicting the first occurrence of these events is important and may affect clinical decisions and care. It can be expected that more than a third of adult Americans will develop CHD during their lifetime,1 and improvements in diagnosis and care may provide great benefits.

The article by Tzoulaki and colleagues2 assesses the scientific literature concerning efforts to improve the prediction of CHD over and above the Framingham risk score.3 The authors report that many articles have provided information on new risk factors, but the study designs and data analyses in those reports raise concerns about the usefulness of the new information and about how improvement over the Framingham risk score was assessed. Researchers and clinicians should understand how CHD risk estimation is undertaken and evaluated, as these methods are frequently used to assess risk of developing disease across a variety of health disciplines.4

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 13

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();