{"id":1317,"date":"2009-10-30T12:11:05","date_gmt":"2009-10-30T16:11:05","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/is-the-framingham-risk-score-over-the-hill\/"},"modified":"2011-07-19T17:45:09","modified_gmt":"2011-07-19T21:45:09","slug":"is-the-framingham-risk-score-over-the-hill","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2009\/10\/30\/is-the-framingham-risk-score-over-the-hill\/","title":{"rendered":"Is the Framingham Risk Score Over the Hill?"},"content":{"rendered":"<p>The Framingham study has revolutionized our understanding of cardiovascular disease, but I wonder: is the 60-year-old study\u2019s risk score getting a little long in the tooth?<\/p>\n<p>Faced with the epidemic of heart disease and growing numbers of younger people worried about heart disease risk, I find that Framingham provides me little guidance.<\/p>\n<p>As I see it, Framingham provides little insight for risk stratification in <a href=\"http:\/\/www.ahjonline.com\/article\/S0002-8703%2807%2900270-0\/abstract\">younger adults<\/a>, and its 10 -year time horizon underestimates long-term cardiovascular risk and may give us a false sense of security. The FRS doesn\u2019t work all that well in ethnically diverse populations or in those with <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1570792\/?report=abstract\">lower socioeconomic status<\/a>.<\/p>\n<p>How many of you find the FRS helpful in determining a treatment plan for primary prevention? Do you follow the current guidelines and obtain an FRS for everyone? Do you have <a href=\"http:\/\/dx.doi.org\/10.1093\/eurpub\/ckp070\">alternative approaches or risk scores<\/a> that you use?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Framingham study has revolutionized our understanding of cardiovascular disease, but I wonder: is the 60-year-old study\u2019s risk score getting a little long in the tooth? Faced with the epidemic of heart disease and growing numbers of younger people worried about heart disease risk, I find that Framingham provides me little guidance. As I see [&hellip;]<\/p>\n","protected":false},"author":169,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,7],"tags":[],"class_list":["post-1317","post","type-post","status-publish","format-standard","hentry","category-general","category-prevention"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1317","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/169"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1317"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1317\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1317"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1317"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}