Using mean data from the validation study , the trend and directionality in risk was similar in the Roux-en-Y group .
In conclusion , bariatric surgery predicts long-term decreases in CV risk in obese patients
Obese patients have an increased prevalence of  cardiovascular ( CV ) risk factors , which improve with bariatric surgery , but whether bariatric surgery reduces long-term CV events remains ill defined .
Predictive accuracy of the Framingham coronary risk score in British men:prospective cohort study
Abstract Objective To establish the predictive accuracy of the Framingham risk score for coronary heart disease in a representative British population . Design Prospect i ve cohort study . Setting 24 towns in the United Kingdom . Participants 6643 British men aged 40 - 59 years and free from cardiovascular disease at entry into the British regional heart study . Main outcome measures Comparison of observed 10 year coronary heart disease mortality and event rates with predicted rates for each individual , using the relevant Framingham risk equation . Results Of 6643 men , 2.8 % ( 95 % confidence interval 2.4 % to 3.2 % ) died from coronary heart disease compared with 4.1 % predicted ( relative overestimation 47 % , P < 0.0001 ) . A fatal or non-fatal coronary heart disease event occurred in 10.2 % ( 9.5 % to 10.9 % ) of the men compared with 16.0 % predicted ( relative overestimation 57 % , P < 0.0001 ) . These relative degrees of overestimation were similar at all levels of coronary heart disease risk , so that overestimation of absolute risk was greatest for those at highest risk . A simple adjustment provided an improved level of accuracy . In a “ high risk score ” approach , most cases occur in the low risk group . In this case , 84 % of the deaths from coronary heart disease and non-fatal events occurred in the 93 % of men classified at low risk ( < 30 % in 10 years ) by the Framingham score . Conclusion Guidelines for the primary prevention of coronary heart disease advocate offering preventive measures to individuals at high risk . Currently recommended risk scoring methods derived from the Framingham study significantly overestimate the absolute coronary risk assigned to individuals in the United Kingdom
Using mean data from the validation study , the trend and directionality in risk was similar in the Roux-en-Y group .
In conclusion , bariatric surgery predicts long-term decreases in CV risk in obese patients
Obese patients have an increased prevalence of  cardiovascular ( CV ) risk factors , which improve with bariatric surgery , but whether bariatric surgery reduces long-term CV events remains ill defined .