ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Predictive Value of the SCORE, SCORE2 and Pooled Cohort Risk Equation Systems in Patients with Hypertension [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-74249 | DOI: 10.5543/tkda.2023.74249

Predictive Value of the SCORE, SCORE2 and Pooled Cohort Risk Equation Systems in Patients with Hypertension

Muammer Karakayalı1, Hamdi Pusuroğlu2, Mehmet Altunova3, Emre Yılmaz4, Ayşenur Güllü5
1Department of Cardiology, Kafkas University School of Medicine, Kars, Türkiye
2Department of Cardiology, Cam and Sakura Basaksehir Training and Research Hospital, Istanbul, Türkiye
3Department of Cardiology,Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Research Hospital, Istanbul, Türkiye
4Department of Cardiology, Giresun University Faculty of Medicine, Giresun, Türkiye
5Department of Cardiology,Tekirdag Cerkezköy State Hospital, Tekirdag, Türkiye

The objective of this study is to assess and compare the accuracy of old and new versions of European Society of Cardiology Systematic Coronary Risk Evaluation (ESC SCORE and SCORE2) and American Heart Association/ American College of Cardiology Pooled Cohort Risk Assessment Equations (AHA/ACC PCE) systems in predicting long-term cardiovascular events in patients with hypertension (HT).

This retrospective study consisted of 788 patients (54% female, mean age 54±9 years) diagnosed with HT between 2009 and 2018. The absolute risk for 10-years cardiovascular events were calculated with SCORE, SCORE2, SCORE-OP and PCE systems based on patients’ data obtained on the date of HT diagnosis. The study group was followed for the occurrence of major adverse cardiac and cerebrovascular events (MACCE). The differences between observed and predicted risk calculated using SCORE, SCORE2 and PCE systems and their prognostic value were assessed.

The mean age of the 788 patients included in the study, of whom 426 (54.1%) were female, was 53.65 ± 9.08 years. Of these patients, during a mean follow-up of 6 years, 173 (22.0%) patients experienced a MACCE. In detecting occurrence of MACCE in HT patients in the long-term, AHA/ACC PCE had a predictive power comparable to ‘ESC SCORE2-SCORE-OP’, whereas ESC SCORE was inferior to ‘ESC SCORE2-SCORE-OP’.

In this study, the PCE risk-scoring system was superior to the old and new versions of SCORE risk system in predicting the cardiovascular and cerebrovascular events that developed in patients with HT.

Keywords: Arterial hypertension, cardiac and cerebrovascular events, Cardiovascular Risk Scores, PCE, SCORE

How to cite this article

Corresponding Author: Muammer Karakayalı, Türkiye
Manuscript Language: English

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