Author:

• DEBORAH CARVALHO MALTA - Malta, D. C. - <deborah.malta@saude.gov.br, dcmalta@uol.com.br>
ORCID: https://orcid.org/0000-0002-8214-5734

Co-author(s):

• Pedro Pinheiro - Pinheiro, P. - <pedrocisalpino@gmail.com>
ORCID: https://orcid.org/0000-0002-6954-1708
• Renato Teixeira Azeredo - Azeredo, R. T. - <renato115@yahoo.com>
ORCID: https://orcid.org/0000-0002-1259-6812
• Filipe Malta dos Santos - dos Santos, F. M. - <filipe.malta@hotmail.com>
ORCID: http://orcid.org/0000-0002-1259-6812
• Antonio L. Pinho Ribeiro - Ribeiro, A. L. P. - <alpr1963br@gmail.com>
ORCID: http://orcid.org/0000-0002-2740-0042
• Luisa Campos Caldeira Brant - Brant, L. C. C. - <luisabrant@gmail.com>
ORCID: https://orcid.org/0000-0002-7317-1367

Abstract:

The study aims to compare the proportion of individuals classified as having high cardiovascular risk (CVR) in the Brazilian adult population, according to six different risk calculators, aiming to analyze the agreement between the measures. Cross-sectional study, using laboratory datathe National Health Survey (PNS). The prevalences of CVR in 10 years for the population between 45 and 64 years were: Global risk score (ERG) of the General Society of Cardiology (SBC): 38.1% (95% CI, 35.8; 40.4), American College of Cardiology and American Heart Association ACC/AHA, 44.1% (95% CI, 41.7-46.5), Framingham Heart Study /ERG 19.4% (95% CI, 17.5; 21.4) , European Society of Cardiology SCORE, 14.6 (95% CI, 12.9-16.4), World Health Organization / International Society of Hypertension (WHO / ISH) (3.1%, 95% CI, 2.4 ; 4.0) and Lim et al. (2.5%, 95% CI, 1.8; 3.3). The RCV calculators showed low agreement to identify high risk individuals and high agreement to identify low / moderate risk individuals, except for ACC / AHA. The use of different calculators has resulted in different populations eligible to start pharmacological therapy for cardiovascular prevention, which may result in inadequate risk perceptions, low cost effectiveness of this treatment and difficulty in implementing public policies.

Keywords:

Cardiovascular Diseases, Risk Factors, prevalence, Brazil

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