Calculate your risk of heart disease

Work out your risk UK risk score chart Ten year risk of fatal CVDin the UKby gender, age, systolio bloodpressure, total cholestorol andsmoking status 22,000 Women Men Age Non-smoker Smoker Age Non-smoker Smoker smokers in the UK die each year from heartand circulatory diseases 11 12 14 8. 180 10 12 14 17 20 23 15 26 180 HOW TO USE SCORE CHARTS TO ASSESS 33% 10 8. 10 10 12 14 16 19 RISK OF CARDIOVASCULAR DISEASE IN 160 160 AN ASYMPTOMATIC PERSON 8. 11 13 140 140 3 6. of men and nearly 50% of women do not achieve recommended levels of physical activity 120 120 O Find the cell nearest to the person's age, cholesterol and blood-pressure values, bearing in mind that risk will be higher as the person approaches the next age, cholesterol or blood-pressure category. 4 10 11 13 15 18 25%+ 180 180 3 4 11 13 160 160 6. O Check the qualifiers. 140 140 of adults have high blood pressure and halfare not receiving treatment O Establish the total ten-year risk for fatal cardiovascular disease (CVD). 120 120 33%+ 8. 10 12 180 180 1. 160 1. 1. QUALIFIERS 160 of men and more than 25% of women regularly 111 1 1 140 11 2 1 2 2 2 3 3 The charts shoukd be used in the ight of a din cian's advice and jucement, especialy with re- gard to local concitions. Alaryghen age, tskoppeoslower forwomen than for men. However, inspection of the charts shos that their risk is merely defered by ten yeors, with a60 year didwoman nesembing a 50year oldman in tems of risk Sedentary or obee sutjects, espe exceed recommended alcohol intake 140 2 As with all risk estimation systems, risk will be Overestimated in countries with a faling CVD mortality rate andunderestimated it it isrising. 120 50% 120 dally those with oentral obesity 180 180 1. 1. 160 4 increased risk of heart disease and stroke through physical inactivity 160 RISK MAY BE HIGHER THAN INDICATED IN THE CHART WITH... 1 140 140 t ta n 1. 120 I Those with a strong family history of premature CVD. I Socially deprived individuals and those from some ethnic minorities. I People with dabetes - the SCORE charts shoukd only be used in those with type 1 diabetes without tatget organ damage; other diabetic subjects are already at very high risk. 120 I Those with low high-density lipoprotein (HDL) cholestero or increased trighyoeride, brinogen, opoe, lipoprotein(a) levels and perhaps increased high sensitivity Creactive protem 1 Asymptomatic subjects with evidence of pre-dinical atherosckrosis, for example plaque on ultrasonograpty. I Those with moderate to severe chronic kicney disease with glomerular fitration rate (GFRI less then 60ml/min/1.73m2. *UKrkk hart ean ako be applied to Andoma Austria Belgum, Cyprus, Denmak, Fntnd France, Gemam Greece", lceland, reland, krat, taly, Lumbourg, 1. 15% and over 180 180 Malta, Monaco, The Netherlands, Norway, Portugal, San Marino, Slovonia, Spain, Sweden andStzerland. 1. 1. 10%-14% 160 160 **Note that HDL cholesterol impacts on risk in both seses, at all aes, andat al leveks of rek, This effect can 1. 5% 9% 1% 140 140 beestimatedusing the octronic version of SCORE. known as eartScore, uhichhas boon updatedto include HDL oholesterollovel. 3%-4% <1% 120 120 Cholestarol mmol/ 4 5 6 7 8 4 5 6 7 8 Cholesterol mmol/L) 4 5 6 7 8 4 5 6 7 8 65+ +09 +09 +0+ 55+ 65+ +09 55+ +0 +0+