General fitness, health and nutrition · Public discussion

Heart assessments exaggerate risk

Started by Derek F · · Last activity · 4 posts · 438 views

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General fitness, health and nutrition
Published
2 January 2004
Last activity
2 January 2004
Original author
Derek F
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  1. Original post
    Derek F
    Archived post
    #1

    Are doctors treating us right?
    Derek.
    nelh.nhs.ukheart risk.asp

    Report
  2. Dr. Andrew B. C
    Archived post
    #2
    Derek F said:


    Are doctors treating us right? Derek. nelh.nhs.ukheart risk.asp

    Imho, better to over-estimate than under-estimate MI risk.

    Truthfully,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-certified Cardiologist
    http:/www.heartmdphd.com/

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  3. Patrick Blancha
    Archived post
    #3
    Derek F said:

    Are doctors treating us right? Derek. nelh.nhs.ukheart risk.asp

    Great article; I archived this on our website. Thanks Derek.

    Framingham data is often misunderstood and misquoted. Yet it is the Framingham data that drives
    treatment protocols.

    Let's say that I walk into a doctor's office and ask the good doctor "what is my risk for a heart
    attack or stroke?" I have never taken any medication at all, should I?

    The questionairre given to me will be this one:
    hin.nhlbi.nih.govcalculator.asp

    His examination of my body will be practically the same as it was when the stethescope was invented:
    antiquemed.cominvention.html

    And if my "result" is bad, then the doctor would most likely recommend a protocol like this one:
    nhlbi.nih.govindex.htm

    or maybe this one too: nhlbi.nih.govhypertension

    So I take the medication prescribed.

    From the very moment I take medication, the Framingham data becomes invalid for further risk
    assesment.

    I may be given the questionairre again in 6 months, but the results are even more inaccurate than
    the first time.

    Many studies have seriously and successfully questioned the accuracy of Framingham data.

    Framingham data was designed to deliver initial risk assesment, and nothing more. Yet it finds its
    way into secondary prevention and tertiary prevention studies all the time, and is misused as a
    guidline for "adjusting therapy along the way".

    --
    Patrick Blanchard, M.D. Board Certified in Family Medicine

    SonoScore Winning against heart attack and stroke sonoscore.comsonoscore.com

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  4. Brad Sheppard
    Archived post
    #4

    Derek,

    The risk formulas need updating. The fact that actual risk was less than predicted may be evidence
    that treatment has improved - and that's good news!

    "Derek F" <[email hidden]> wrote in message
    news:<[email hidden]>...

    Quoted message said:

    Are doctors treating us right? Derek. nelh.nhs.ukheart risk.asp

    Report

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