Evidence map›Paper›PMID 30564373›Full record

ArticleOpen heart

Risk classification in primary prevention of CVD according to QRISK2 and JBS3 'heart age', and prevalence of elevated high-sensitivity C reactive protein in the UK cohort of the EURIKA study.

Ieuan Johns, Konstantinos E Moschonas, Jesús Medina, Nicholas Ossei-Gerning, George Kassianos, Julian P Halcox

Registry-linked trialAbstract read
In one paragraph

Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00882336 (Epidemiological Study of European Cardiovascular Risk Patients), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00882336 completednot on this map

Epidemiological Study of European Cardiovascular Risk Patients: Disease Prevention and Management in Usual Daily Practice

TypeobservationalSponsorAstraZenecaRan2009 to 2009Enrolled7,200ConditionsCardiovascular Risk Factors, Hyperlipidemia, Hypertension, Diabetes
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
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  7. Major Limitations of Cardiovascular Risk Scores.Cardiovascular therapeutics · 2024
    Review
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  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ieuan JohnsWestern Health, Victoria, Saint Albans, Australia.
Konstantinos E MoschonasKing's College Hospital NHS Foundation Trust, London, UK.
Jesús MedinaMedical Evidence and Observational Research, AstraZeneca, Madrid, Spain.
Nicholas Ossei-GerningCardiology Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UK.
George KassianosGeneral Practitioner, Wokingham, UK.
Julian P HalcoxSwansea University Medical School, Swansea, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study assessed cardiovascular disease (CVD) risk classification according to QRISK2, JBS3 'heart age' and the prevalence of elevated high-sensitivity C reactive protein (hsCRP) in UK primary prevention patients. Method: The European Study on Cardiovascular Prevention and Management in Usual Daily Practice (EURIKA) (NCT00882336) was a cross-sectional study conducted in 12 European countries. 673 UK outpatients aged ≥50 years, without clinical CVD but with at least one conventional CVD risk factor, were recruited. 10-year CVD risk was calculated using QRISK2. JBS3 'heart age' and hsCRP level were assessed according to risk category. Results: QRISK2 and JBS3 heart age was calculated for 285 of the 305 patients free from diabetes mellitus and not receiving a statin. QRISK2 classified 28%, 39% and 33% of patients as low (<10%), intermediate (10% to <20%) and high (≥20%) risk, respectively. Two-thirds of low-risk patients and half of intermediate-risk patients had a heart age Conclusions: Almost 40% more patients in this 'at risk' group would be eligible for statin therapy following the lowering of the National Institute for Health and Care Excellence treatment threshold to ≥10% 10-year risk. Of patients falling below this treatment threshold, almost all were at increased lifetime risk as measured by JBS3, and of these, the majority had elevated hsCRP levels. These patients with high absolute risk may benefit from early primary CVD prevention.

Indexed as

inflammationrisk factorsrisk stratificationstatins

Identifiers

PMID30564373
PMCPMC6269641

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.