Risk evaluation of primary and secondary prevention of coronary heart disease

  Objective   To screen the subjects for primary and secondary prevention of coronary heart disease(CHD)in the population in the economy developed region.

  Methods   Based on the data of two community population in South Jiangsu province from Chinese Multicenter Cardiovascular Health Cooperative Project, appling ATPⅢ to assess the risk of CHD and the principle and methods of hadling cholesterol.

  Results   The risk status was divided into three groups according to the risk factors of CHD.In urban and suburb population the highest risk group accounted for 14.32% and 7.70% respectively.In the group with two or more risk factors, according to Framingham score, 62.44% in urban and 51.58% in suburb population had more than 10% risk of CHD in 10 years.In the highest risk group of CHD, the proportion of LDL-C≥2.59 mmol/L was 62.50% in urban and 43.75% in suburb population.In the group with two or more risk factors, the proportion of LDL-C≥3.36 mmol/L was 24.17% in urban and 10.41% in suburb population.In the group with 0-1 risk factors, the proportion of LDL-C≥4.14mmol/L was 5.25% in urban and 5182% in suburb population.In addition, the prevalence of metabolic syndrome was 30140% in urban and 18.11% in suburb population.

  Conclusion   Using ATPⅢ assessment, suggested, in this economy developed region, a relatively higher proportion of the population had CHD risk and there was a higher prevalence of metabolic syndrome.ATPⅢ was well validated tool which may be used to screen the subjects for primary and secondary prevention of CHD.