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Research ArticleOriginal Research

Importance of a Patient's Personal Health History on Assessments of Future Risk of Coronary Heart Disease

Arch G. Mainous, Charles J. Everett, Marty S. Player, Dana E. King and Vanessa A. Diaz
The Journal of the American Board of Family Medicine September 2008, 21 (5) 408-413; DOI: https://doi.org/10.3122/jabfm.2008.05.080046
Arch G. Mainous III
PhD
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Charles J. Everett
PhD
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Marty S. Player
MD, MS
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Dana E. King
MD, MS
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Vanessa A. Diaz
MD, MS
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Article Figures & Data

Figures

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    Figure 1.

    Twelve-year study timeline.

  • Figure 2.
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    Figure 2.

    Receiver operating characteristic curves for Framingham Risk Score (FRS) at baseline and FRS at baseline plus the difference in risk points between 6 years previous and baseline (FRS History) among men.

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    Figure 3.

    Receiver operating characteristic curves for Framingham Risk Score (FRS) at baseline and FRS at baseline plus the difference in risk points between 6 years previous and baseline (FRS History) among women.

Tables

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    Table 1.

    Characteristics of the Cohort at Baseline

    MenWomen
    Number39015406
    Mean age (yr)60.059.5
    Current smokers (%)18.717.0
    Mean total cholesterol (mg/dL)200213
    Mean HDL cholesterol (mg/dL)45.560.3
    Mean systolic blood pressure (mm Hg)124122
    Hypertension medications (%)27.031.2
    • HDL, high-density lipoprotein.

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    Table 2.

    Areas Under the Receiver Operating Characteristic Curves for Models Predicting 6-Year Coronary Heart Disease Risk Incorporating Changes in Risk Scores Over Time

    MenWomenTotal
    FRS*0.6460.6670.720
    FRS plus difference in risk points between 3 years previous baseline0.6570.6770.727
    FRS plus difference in risk points between 6 years previous and baseline0.6490.709†0.730†
    • * Framingham Risk Score (FRS) risk points at Baseline.

    • † Significantly different (P < .05) from Framingham Risk Score risk points at baseline.

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    Table 3.

    Correlations Between Framingham Risk Score Risk Points at Different Times

    MenWomen
    3 years previous and baseline0.7570.759
    6 years previous and baseline0.7150.707
    • View popup
    Table 4.

    Proportion of Current Smokers by Sex, Coronary Heart Disease Event Status Over 6 Years of Follow-up and Time (at Baseline or Before Baseline)

    Men (%)Women (%)
    No EventCHD EventNo EventCHD Event
    6 years before23.421.721.638.9
    3 years before21.722.119.333.6
    Baseline18.520.416.729.8
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The Journal of the American Board of Family Medicine: 21 (5)
The Journal of the American Board of Family Medicine
Vol. 21, Issue 5
September-October 2008
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Importance of a Patient's Personal Health History on Assessments of Future Risk of Coronary Heart Disease
Arch G. Mainous, Charles J. Everett, Marty S. Player, Dana E. King, Vanessa A. Diaz
The Journal of the American Board of Family Medicine Sep 2008, 21 (5) 408-413; DOI: 10.3122/jabfm.2008.05.080046

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Importance of a Patient's Personal Health History on Assessments of Future Risk of Coronary Heart Disease
Arch G. Mainous, Charles J. Everett, Marty S. Player, Dana E. King, Vanessa A. Diaz
The Journal of the American Board of Family Medicine Sep 2008, 21 (5) 408-413; DOI: 10.3122/jabfm.2008.05.080046
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