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Open AccessJournal ArticleDOI

Risk Factors for Coronary Artery Disease: Historical Perspectives.

Rachel Hajar
- 01 Jul 2017 - 
- Vol. 18, Iss: 3, pp 109-114
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TLDR
The concept of “risk factors” in coronary heart disease (CHD) was first coined by the Framingham heart study (FHS), which published its findings in 1957, and it helped bring about a change in the way medicine is practiced.
Abstract
We consider our current understanding and therapy of cardiovascular diseases (CVD) state-of-the-art, but heart disease is still a problem because there is still a lot that we do not know. There is still no cure for any form of heart disease. However, research is ongoing, and new clues are emerging which could lead to better treatments in the future. Results from epidemiological studies, foremost among them the Framingham study, have been crucial to our current knowledge about CVD. Emphasis is on the identification of risk factors, assessment of their predictive ability, and their implications for disease prevention. The concept of “risk factors” in coronary heart disease (CHD) was first coined by the Framingham heart study (FHS), which published its findings in 1957. FHS demonstrated the epidemiologic relations of cigarette smoking, blood pressure, and cholesterol levels to the incidence of coronary artery disease (CAD). The findings were truly revolutionary for it helped bring about a change in the way medicine is practiced.

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Citations
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Systolic Versus Diastolic Blood Pressure and Risk of Coronary Heart Disease???The Framingham Study

TL;DR: The current practice of assessing the importance of blood pressure at all ages largely on the basis of diastolic pressure and the commonly held view concerning the innocuous nature of an elevated level of systolic pressure in the elderly requires reevaluation.
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Alterations in the gut microbiome and metabolism with coronary artery disease severity

TL;DR: This study identified the relationships between the features of the gut microbiota and circulating metabolites, providing a new direction for future studies aiming to understand the host–gut microbiota interplay in atherosclerotic pathogenesis.
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A Brief Review of Cardiovascular Diseases, Associated Risk Factors and Current Treatment Regimes.

TL;DR: The epidemiology and pathology of the major CVDs that are prevalent globally are discussed and the contribution of well-recognized risk factors towards the development ofCVDs and the prevention strategies are determined.
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Convolutional and recurrent neural networks for the detection of valvular heart diseases in phonocardiogram recordings.

TL;DR: In this article, a combination of convolutional neural networks and recurrent neural networks (RNNs) based on Bi-directional long short short-term memory (BiLSTM) was used to detect VHD through phonocardiography (PCG) recordings.
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Model selection for metabolomics: predicting diagnosis of coronary artery disease using automated machine learning.

TL;DR: It is demonstrated that the phenotypic profile that distinguishes non-obstructive CAD patients from no CAD patients is associated with higher precision, suggesting a discrepancy in the underlying processes between these phenotypes.
References
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Implications of Recent Clinical Trials for the National Cholesterol Education Program Adult Treatment Panel III Guidelines

TL;DR: The trials confirm the benefit of cholesterol-lowering therapy in high-risk patients and support the ATP III treatment goal of low-density lipoprotein cholesterol (LDL-C) <100 mg/dL, and confirm that older persons benefit from therapeutic lowering of LDL-C.
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High-density lipoprotein cholesterol and cardiovascular disease. Four prospective American studies.

TL;DR: A consistent inverse relation of high-density lipoprotein cholesterol levels and coronary heart disease event rates was apparent in BRHS as well as in the four American studies.
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Obesity and Cardiovascular Disease: Pathophysiology, Evaluation, and Effect of Weight Loss

TL;DR: The available evidence of the impact of obesity on CVD is reviewed with emphasis on the evaluation of cardiac structure and function in obese patients and the effect of weight loss on the cardiovascular system.
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Is relationship between serum cholesterol and risk of premature death from coronary heart disease continuous and graded? Findings in 356,222 primary screenees of the Multiple Risk Factor Intervention Trial (MRFIT).

TL;DR: The data of high precision show that the relationship between serum cholesterol and CHD is not a threshold one, with increased risk confined to the two highest quintiles, but rather is a continuously graded one that powerfully affects risk for the great majority of middle-aged American men.
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