Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2009;62(08):875-85 - Vol. 62 Num.08 DOI: 10.1016/S1885-5857(09)72652-0

Adaptation of the Framingham-Wilson Coronary Risk Equation for the Population of Navarra (RICORNA)

Paulino González-Diego a, Conchi Moreno-Iribas b, María Jesús Guembe c, José Javier Viñes c, Joan Vila d

a Servicio de Docencia e Investigación, Departamento de Salud, Gobierno de Navarra, Pamplona, Navarra, Spain. Hospital García Orcoyen, Servicio Navarro de Salud, Estella, Navarra, Spain
b Instituto de Salud Pública de Navarra, Departamento de Salud, Gobierno de Navarra, Pamplona, Navarra, Spain
c Servicio de Docencia e Investigación, Departamento de Salud, Gobierno de Navarra, Pamplona, Navarra, Spain.
d Unidad de Lípidos y Epidemiología Cardiovascular, Instituto Municipal de Investigación Médica (IMIM), Barcelona, Spain

Keywords

Cardiovascular risk equations. Coronary disease. Coronary disease risk. Primary prevention.

Abstract

Introduction and objectives. The Framingham equations overestimate the risk of coronary disease in populations with a low disease incidence. It is more appropriate to take the local population’s characteristics into account when estimating coronary risk. Accordingly, the Framingham-Wilson equation has been adapted for the population of Navarra, Spain. This article presents 10-year overall coronary risk charts. Methods. The Framingham–Wilson equation was adapted using data on the prevalence of cardiovascular risk factors and the coronary event rate in the population of Navarra. The version of the Framingham-Wilson equation used included high-density lipoprotein cholesterol (HDL-C). The probability of an event at 10 years for different combinations of risk factors, with an HDL-C concentration of 35-59 mg/dL, are illustrated. Results. Using the Framingham equation adapted for Navarra (ie, the RICORNA or Riesgo Coronario Navarra), the proportion with an estimated probability of a coronary event in the next 10 years greater than 9% is approximately half that in the original Framingham population, and the proportion with a high or very high probability (ie, 20%) is one-third. An HDL-C level <35 mg dl increases the risk by 50 and a level 8805 60 reduces it approximately average hdl-c observed in population was 63 9 overall 70 1 women conclusions ricorna equation can provide more precise estimate of coronary could be useful primary disease prevention navarra high concentration might contribute to associated low morbidity mortality

1885-5857/© 2009 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

Cookies
x
To improve our services and products, we use cookies (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.
Cookies policy
x
To improve our services and products, we use cookies (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.