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) - Summary - 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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Objective:

To evaluate the association between baseline and cumulative ASCVD10 year scores and incident cardiovascular events across CKM syndrome stages 0–3 in a Chinese population.

Key Findings:
  • Baseline and cumulative ASCVD10 year scores are significantly associated with incident cardiovascular events.
  • Nonlinear associations between ASCVD risk and cardiovascular outcomes were identified.
  • Metabolic markers such as HbA1c and the TyG index mediated the relationship between ASCVD scores and cardiovascular events.
Interpretation:

The study highlights the importance of ASCVD risk scores in predicting cardiovascular events in the context of CKM syndrome, emphasizing the need for targeted interventions in high-risk populations.

Limitations:
  • Exclusion of participants with pre-existing cardiovascular conditions may limit generalizability.
  • Reliance on self-reported data could introduce bias.
  • The study's observational nature limits causal inferences.
Conclusion:

The findings underscore the utility of ASCVD10 year scores in identifying individuals at risk for cardiovascular events, supporting the need for early intervention strategies in populations with CKM syndrome.

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