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Subclinical cardiovascular disease in older adults: insights from the Cardiovascular Health Study.

TitleSubclinical cardiovascular disease in older adults: insights from the Cardiovascular Health Study.
Publication TypeJournal Article
Year of Publication2004
AuthorsChaves, PHM, Kuller, LH, O'Leary, DH, Manolio, TA, Newman, AB
Corporate/Institutional AuthorsCardiovascular Health Study,
JournalAm J Geriatr Cardiol
Volume13
Issue3
Pagination137-51
Date Published2004 May-Jun
ISSN1076-7460
KeywordsAged, Cardiovascular Diseases, Coronary Artery Disease, Heart Failure, Humans, Longitudinal Studies, Prevalence, Risk Assessment, Risk Factors
Abstract<p>Knowledge about the epidemiology of subclinical cardiovascular disease (SCVD) in older adults may hold the key for improved opportunities for primary prevention of cardiovascular disease (CVD), a top clinical and public health priority. This review reports findings on the prevalence of SCVD and the ability of SCVD measures to predict incident and adverse outcomes from one of the largest (N=5888) and most comprehensive prospective observational studies on SCVD in older adults, the Cardiovascular Health Study. According to a composite index that combined SCVD measures from different vascular beds, the overall prevalence of SCVD was 37%, making it as common as clinically overt CVD in older adults. SCVD measures strongly predicted incident CVD, stroke, mortality, frailty, and physical and cognitive decline, even after adjustment for traditional CVD risk factors. Ongoing research will address the potential use of SCVD for clinical decision making in older adults.</p>
DOI10.1111/j.1076-7460.2004.02120.x
Alternate JournalAm J Geriatr Cardiol
PubMed ID15133417
Grant ListN01-HC-15103 / HC / NHLBI NIH HHS / United States
N01-HC-35129 / HC / NHLBI NIH HHS / United States
N01-HC-85079 / HC / NHLBI NIH HHS / United States
N01-HC-85086 / HC / NHLBI NIH HHS / United States