心血管疾病风险评估系统研究进展

摘要

Cardiovascular disease has become a huge threaten to human health,so it is necessary to assess the risk of cardiovascular disease and manage its risk factors. Since the 20th century,many countries and regions have conducted researches on cardiovascular disease risk factors in large scale,and have built some cardiovascular disease risk assessment systems,such as the Framingham risk score(FRS),SCORE risk score,QRISK2 risk score and Chinese ischemic cardiovascular disease(ICVD) risk assessment model. However,since the difference of ethnic groups and regions,the application ranges of risk assessment systems,clinical variables,cardiovascular disease risk factors,end points and suitable crowd are different,and each system has its own characteristics. In this review,a comparison is made among current risk score systems.%心血管疾病目前已经成为人类健康的巨大威胁,因此需要对心血管疾病进行评估,同时对其相关风险因素进行管理.从20个世纪开始,多个国家和地区开展了大规模的心血管疾病风险因素的研究,并先后推出了多个心血管疾病风险评估系统,如Framingham风险积分(FRS)系统、SCORE积分系统、QRISK2积分系统、中国缺血性心血管疾病危险评估模型等.但是由于研究人群和地区的差异,各个风险评估系统的应用范围、研究指标、心血管疾病危险因素、终点事件、适用人群等不尽相同,且各具特点.文章对目前各个主要的心血管疾病风险评估系统的临床应用进展进行了综述.