Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor
In Reply: Dr Mayer suggests that our criteria
for coronary heart disease (CHD) are arbitrary. In fact, each variable listed
is an established CHD risk factor. The 10-year risk for heart disease with
diabetes is an equivalent to a prior CHD event; a "CHD risk equivalent" according
to the National Cholesterol Education Program Adult Treatment Panel III.1 Our Figure 2, showing increasing event rates with
increasing scores, supports the appropriateness of the weighting.
Barrett-Connor E, Sashegyi A, Cox DA, Harper KD. Raloxifene and Risk of Cardiovascular Events—Reply. JAMA. 2002;288(1):42-43. doi:10.1001/jama.288.1.42