![]() ![]() These are risk factors for CV disease, but they aren't CV disease. Are hypertension, hyperlipidemia, diabetes "cardiovascular disease"? | No.WHO? identifies people free of cardiovascular disease most likely to develop it over ten years WHAT? ASSIGN score = estimated risk percent of getting cardiovascular disease over ten years By Patient Typeĭefinitions CVD = coronary death, myocardial infarction, coronary insufficiency, angina, ischemic stroke, hemorrhagic stroke, transient ischemic attack, peripheral artery disease, heart failure CHD = coronary death, myocardial infarction, coronary insufficiency, angina CAD = CHD TChol = LDL+HDL+TG/5 mg/dL -> mmol/L CONVERSION FACTOR: 38.6 Common Misconceptions and Sticking Points WHO? patients with stable angina WHAT? risk of having a heart attack, stroke or death over the next 5 years WHO? patients who do not already have stable angina WHAT? risk of dying within 5 years from cardiovascular disease, including both stroke and heart disease WHO? almost anyone without CAD WHAT? cardiometabolic age, 10-year CV CVD risk WHO? people with type 2 diabetes without CAD WHAT? 4-year probability of major CV event (CV death, non fatal MI and non fatal stroke) WHO? individuals with type 2 diabetes not known to have heart disease WHAT? 10-year risk of non-fatal and fatal CHD, fatal CHD, non-fatal and fatal stroke, fatal stroke WHO? same as QRisk WHAT? risk of diabetes, heart disease, or stroke over the next 10 years QIntervention (combines QRISK and QDiabetes).WHO? people who do not already have a diagnosis of heart disease or stroke WHAT? risk of having a heart attack or stroke over the next ten years WHO? people who are "healthy and without diabetes" WHAT? risk of having a future heart attack, stroke, or other major heart disease in the next 10 years WHO? people who are "healthy and without diabetes" when you don't have any lab values (cholesterol) available WHAT? 10-year risk of CVD (coronary death, myocardial infarction, coronary insufficiency, angina, ischemic stroke, hemorrhagic stroke, transient ischemic attack, peripheral artery disease, heart failure) Framingham "Interactive Risk Score Calculator using BMI" (no labs required).WHO? for the "general CV Risk" version, individuals 30 to 74 years old and without CVD at the baseline examination WHAT? for the "general CV Risk" version, 10-year risk of CVD (coronary death, myocardial infarction, coronary insufficiency, angina, ischemic stroke, hemorrhagic stroke, transient ischemic attack, peripheral artery disease, heart failure) Framingham "Interactive Risk Score Calculator using lipids".READ THE FOLLOWING ARTICLE FOR A DISCUSSION OF THE VARIABILITY OF DIFFERENT RISK CALCULATORSĪgreement Among Cardiovascular Disease Risk Calculators * The Absolute CVD Risk/Benefit Calculator ![]() Nearly all of these have a mobile app version or several. CRP 3.5 PMH: ischemic stroke, DM2 (x 5 years, A1C 6.5%) fam CV hx: none Examples of Risk Estimation Tools CRP 3.0 PMH: none fam CV hx: noneĬASE 5 71 y/o white M BP 135/85. CRP 4.5 PMH: none fam CV hx: Y smokerĬASE 4 55 y/o white F BP 125/80. CRP 8.5 PMH: type 2 diabetes x 3y (HgB A1C 7.5%) fam CV hx: noneĬASE 3 59 y/o white M BP 148/85 on 2 drugs. CRP 5.0 PMH: none fam CV hx: noneĬASE 2 67 y/o white F BP 135/85. How To Critically Appraise an RCT In 10 minutesĢ) For each of the following patients, estimate their 10 years risks of CVD, MIs, strokes and ASCVD using the The Absolute CVD Risk/Benefit Calculator WARNING - NOT ALL PATIENTS OR LAB VALUES CAN BE USED IN THE CALCULATORĬASE 1 55 y/o white M BP 145/90 on HCTZ.
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