Linking a 10-Year Atherosclerotic Cardiovascular Disease Risk Score to New Cardiovascular Events in Stages 0–3 of Cardiovascular–Kidney–Metabolic Syndrome: Insights from the China Health and Retirement Longitudinal Study (CHARLS) - Report - MDSpire

Linking a 10-Year Atherosclerotic Cardiovascular Disease Risk Score to New Cardiovascular Events in Stages 0–3 of Cardiovascular–Kidney–Metabolic Syndrome: Insights from the China Health and Retirement Longitudinal Study (CHARLS)

  • By

  • Zhitong Li

  • Wenxia Ren

  • Xuhui Li

  • Ruixue Duan

  • Linlin Gao

  • Jiaojiao Li

  • Yajing Bai

  • Yuanyuan Yan

  • Angxian Lü

  • Anqi Zhao

  • Shiwei Liu

  • November 14, 2025

  • 0 min

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Linking a 10-Year Atherosclerotic Cardiovascular Disease Risk Score to New Cardiovascular Events

Overview

This study investigates the association between baseline and cumulative 10-year atherosclerotic cardiovascular disease (ASCVD) risk scores and incident cardiovascular events across stages 0–3 of cardiovascular-kidney-metabolic syndrome in a Chinese population. Utilizing data from the China Health and Retirement Longitudinal Study (CHARLS), the findings highlight the importance of dynamic risk assessment in predicting cardiovascular outcomes.

Background

Cardiovascular disease (CVD) is a leading cause of morbidity and mortality, particularly in low- and middle-income countries like China. The integration of cardiovascular, kidney, and metabolic dysfunction into a unified framework, known as cardiovascular-kidney-metabolic (CKM) syndrome, emphasizes the need for effective risk assessment and early intervention strategies. Understanding the relationship between ASCVD risk scores and cardiovascular events is crucial for improving preventive measures in populations with high cardiometabolic risk.

Data Highlights

No numerical data available in the provided source material.

Key Findings

  • The study utilized data from the CHARLS, focusing on adults aged 45 and older.
  • Baseline and cumulative ASCVD10 year scores were evaluated for their association with incident cardiovascular events.
  • Advanced statistical techniques were employed, including k-means clustering and mediation analyses.
  • Findings are expected to inform targeted interventions for reducing CVD burden in populations with high metabolic disorders.
  • The study addresses a significant gap in understanding ASCVD risk in the context of CKM syndrome stages.

Clinical Implications

The results underscore the necessity of dynamic ASCVD risk assessment in clinical practice, particularly for individuals in the early stages of CKM syndrome. Healthcare professionals should consider integrating these risk scores into routine evaluations to enhance preventive strategies against cardiovascular events.

Conclusion

This study provides valuable insights into the relationship between ASCVD risk scores and cardiovascular outcomes, highlighting the importance of tailored risk assessment in managing cardiometabolic health. Further research is needed to explore the implications of these findings in diverse populations.

References

  1. European Journal of Preventive Cardiology, 2023 -- Cardiovascular–kidney–metabolic syndrome and mortality in a prospective UK cohort study
  2. European Journal of Preventive Cardiology, 2023 -- External validation of the 2023 American Heart Association Predicting Risk of cardiovascular disease EVENTs equations
  3. Clinical Research in Cardiology, 2023 -- Linking the C-reactive protein-triglyceride glucose index to cardiovascular and overall mortality risk in older adults
  4. European Journal of Preventive Cardiology, 2023 -- Association of 10- and 30-Year PREVENT Risk Scores with Coronary Artery Calcium Levels
  5. Journal of the American Society of Nephrology, 2025 -- Cumulative incidence of mortality associated with CKM stages
  6. Journal of the American Society of Nephrology
  7. Updates in the 2025 AHA/ACC Hypertension Guideline - PMC
  8. Cardiovascular Outcomes with Tirzepatide versus Dulaglutide in Type 2 Diabetes - PubMed

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