Assessment of Cardiovascular Risk: A Return to Basics
Authors: Warren K. Laskey
Journal: Annals of Internal Medicine (1993)

Editorials15 January 1993Assessment of Cardiovascular Risk: A Return to BasicsWarren K. Laskey, MDWarren K. Laskey, MDHospital of the University of Pennsylvania, Philadelphia, PA 19104.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-118-2-199301150-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Medicine (in particular cardiovascular medicine) has become increasingly dependent on sophisticated technology for the diagnosis and treatment of disease. The broad application of such technology has taken place in the absence of rigorous risk- and cost–benefit analysis. Further, the characterization of cardiovascular risk has focused on the minority of patients with clinically advanced disease. The ability to predict the likelihood of development of serious disease depends on the complete and accurate characterization of risk factors. That the presence of such factors may be revealed in the clinical and historical information obtained from a patient during the initial encounter with a ...References1. Pryor DB, Shaw L, McCants CB, Lee KL, Mark DB, Harrell FE Jr, et al. Value of the history and physical examination in identifying patients at increased risk for coronary artery disease. Ann Intern Med. 1993; 118:81-90. Google Scholar2. Kannel WB, McGee D, Gordon T. A general cardiovascular risk profile: The Framingham Study. Am J Cardiol. 1976; 38:46-96. Google Scholar3. Epstein FH, Napier JA, Block WD, Haynes NS, Higgins NP, Johnson BC, et al. The Techumseh study. Design, progress and prospectives. Arch Environ Health. 1970; 21:402-30. Google Scholar4. Keys A, ed. Coronary Heart Disease in Seven Countries. Circulation. 1970; 4(Suppl I):I1-211. Google Scholar5. American Heart Association. Coronary Risk Handbook: Estimating Risk of Coronary Heart Disease in Daily Practice. New York: American Heart Association; 1973. 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Google Scholar10. King SB 3d, Talley JD. Coronary arteriography and percutaneous transluminal coronary angioplasty. Changing patterns of use and results. Circulation. 1989; 79(Suppl)I19-I23. Google Scholar11. Pryor DB, Bruce RA, Chaitman BR, Fisher L, Gajewski J, Hammermeister KE, et al. Task Force I: Determination of progress in patients with ischemic heart disease. J Am Coll Cardiol. 1989; 14: 1016-42. Google Scholar Author, Article, and Disclosure InformationAuthors: Warren K. Laskey, MDAffiliations: Hospital of the University of Pennsylvania, Philadelphia, PA 19104.Corresponding Author: Warren K. Laskey, MD, Cardiology Department, Hospital of the University of Pennsylvania, 9 Founders Pavilion, 3400 Spruce Street, Philadelphia, PA 19104. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoValue of the History and Physical in Identifying Patients at Increased Risk for Coronary Artery Disease David B. Pryor , Linda Shaw , Charles B. McCants , Kerry L. Lee , Daniel B. Mark , Frank E. Harrell , Lawrence H. Muhlbaier , and Robert M. Califf Metrics Cited byACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina11This document was approved by the American College of Cardiology Board of Trustees in March 1999, the American Heart Association Science Advisory and Coordinating Committee in March 1999, and the American College of Physicians-American Society of Internal Medicine Board of Regents in February 1999.When citing this document, please use the following citation format: Gibbons RJ, Chatterjee K, Daley J, Douglas JS, Fihn SD, Gardin JM, Grunwald MA, Levy D, Lytle BW, O'Rourke RA, Schafer WP, Williams SV. ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). J Am Coll Cardiol 1999;33:2092–197.This document is available on the World Wide Web sites of the American College of Cardiology (www.acc.org) and the American Heart Association (www.americanheart.org). Reprints of this document are available by calling 1-800-253-4636 or writing the American College of Cardiology, Educational Services, at 9111 Old Georgetown Road, Bethesda, MD 20814-1699. Ask for reprint number 71-0166. To obtain a reprint of the Executive Summary and Recommendations published in the June 1, 1999 issue of Circulation, ask for reprint number 71-0167. To purchase bulk reprints (specify version and reprint number): Up to 999 copies call 1-800-611-6083 (US only) or fax 413-665-2671; 1000 or more copies call 214-706-1466, fax 214-691-6342, or e-mail [email protected]Long-term prognosis of painless exercise-induced ischemia in stable patients with previous myocardial infarctionExtracoronary Atherosclerotic Plaque at Multiple Sites and Total Coronary Calcification Deposit in Asymptomatic Men 15 January 1993Volume 118, Issue 2 Page: 149-150 Keywords Cardiology and cardiovascular diseases Cardiovascular disease risk Coronary arteries Coronary heart disease Electrocardiography Exercise Outpatients Research laboratories Sexual identity Stable coronary artery disease ePublished: 15 August 2000 Issue Published: 15 January 1993 Copyright & PermissionsCopyright © 1993 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...