Associazione Nazionale Medici Cardiologi Ospedalieri

CONGRESS ABSTRACT

CONGRESS ABSTRACT

Primary prevention of cardiovascular disease events in the healthy young population by the PREVENT risk assessment: preliminary results.

CASSADONTE MARIANGELA CATANZARO (CZ) – Department of Health Sciences, University of Catanzaro Magna Græcia, Catanzaro, Italy. | IOCCA IOLE CAMILLA CATANZARO (CZ) – Department of Health Sciences, University of Catanzaro Magna Græcia, Catanzaro, Italy. | SARCONE ADELE CATANZARO (CZ) – Department of Health Sciences, University of Catanzaro Magna Græcia, Catanzaro, Italy. | DE PASQUALE ALESSANDRA CATANZARO (CZ) – Department of Health Sciences, University of Catanzaro Magna Græcia, Catanzaro, Italy. | DI GIUSEPPE GABRIELLA NAPOLI (NA) – Department of Experimental Medicine, University of Campania Luigi Vanvitelli, Naples, Italy | PILEGGI CLAUDIA CATANZARO (CZ) – Department of Health Sciences, University of Catanzaro Magna Græcia, Catanzaro, Italy.

Background  Cardiovascular diseases (CVD) are the leading cause of global mortality and one of the primary factors contributing to disability.The younger population is often under-represented in CVD studies, although classic CV risk factors such as obesity and unhealthy lifestyles are increasing in this category. The principal aim of the study was to estimate premature CVD events in healthy young adults by the PREVENT risk calculator (AHA Predicting Risk of CVD Events). Methods  A cross-sectional study was designed by reviewing of the medical records of young adults aged 30-40 years, undergone the medical surveillance visit at the Teaching Hospital of Catanzaro (Italy), starting from January 2024. For each medical record, a form was compiled to collect socio-demographic, anamnestic and clinical data useful to be included in the PREVENT calculator to estimate the risk of heart attack,stroke and heart failure risk. Results Preliminary results derived by a review of 309 medical records. The mean age of the sample was 33.8 ± 3.1 years; 65% were female, 18% were active smokers and 24% were overweight/obese. A family history for CVD was highlighted in 17%. Borderline/ High blood pressure was found in 7.4% of subjects ; in almost 28% a dyslipidemic profile and a reduced glomerular filtration in 15% of subjects. Calculating CVD scores at 10 years did not highlight a risk of CVD events,while at 30-years emerged a moderate/high risk of CVD for 14% and borderline for 13% of the subjects a borderline/moderate risk of ASCVD for 12.6% and of heart failure risk for 2.3% of the subjects.  Conclusions Preliminary study results highlights an high prevalence of CVD risk factors that can be addressed to reduce the likelihood of CV events that is substantial in the scores calculated at 30 years. Therefore it is useful to implement in the routine clinical evaluation of young adults the CVD risk quantification to identify high-risk individuals and improve primary prevention.