Box 5

Risk estimation: key messages

In apparently healthy persons, CVD risk is most frequently the result of multiple, interacting risk factors. This is the basis for total CV risk estimation and management.
Risk factor screening including the lipid profile should be considered in men >40 years old, and in women >50 years of age or post-menopausal.
A risk estimation system such as SCORE can assist in making logical management decisions, and may help to avoid both under- and overtreatment.
Certain individuals declare themselves to be at high or very high CVD risk without needing risk scoring, and all risk factors require immediate attention. This is true for patients with documented CVD, older individuals with long-standing DM, familial hypercholesterolaemia, chronic kidney disease, carotid or femoral plaques, coronary artery calcium score >100, or extreme Lp(a) elevation.
All risk estimation systems are relatively crude and require attention to qualifying statements.
Additional factors affecting risk can be accommodated in electronic risk estimation systems such as HeartScore (www.heartscore.org).
The total risk approach allows flexibility; if optimal control cannot be achieved with one risk factor, trying harder with the other factors can still reduce risk.
In apparently healthy persons, CVD risk is most frequently the result of multiple, interacting risk factors. This is the basis for total CV risk estimation and management.
Risk factor screening including the lipid profile should be considered in men >40 years old, and in women >50 years of age or post-menopausal.
A risk estimation system such as SCORE can assist in making logical management decisions, and may help to avoid both under- and overtreatment.
Certain individuals declare themselves to be at high or very high CVD risk without needing risk scoring, and all risk factors require immediate attention. This is true for patients with documented CVD, older individuals with long-standing DM, familial hypercholesterolaemia, chronic kidney disease, carotid or femoral plaques, coronary artery calcium score >100, or extreme Lp(a) elevation.
All risk estimation systems are relatively crude and require attention to qualifying statements.
Additional factors affecting risk can be accommodated in electronic risk estimation systems such as HeartScore (www.heartscore.org).
The total risk approach allows flexibility; if optimal control cannot be achieved with one risk factor, trying harder with the other factors can still reduce risk.

CV = cardiovascular; CVD = cardiovascular disease; DM = diabetes mellitus; SCORE = Systematic Coronary Risk Estimation.

Box 5

Risk estimation: key messages

In apparently healthy persons, CVD risk is most frequently the result of multiple, interacting risk factors. This is the basis for total CV risk estimation and management.
Risk factor screening including the lipid profile should be considered in men >40 years old, and in women >50 years of age or post-menopausal.
A risk estimation system such as SCORE can assist in making logical management decisions, and may help to avoid both under- and overtreatment.
Certain individuals declare themselves to be at high or very high CVD risk without needing risk scoring, and all risk factors require immediate attention. This is true for patients with documented CVD, older individuals with long-standing DM, familial hypercholesterolaemia, chronic kidney disease, carotid or femoral plaques, coronary artery calcium score >100, or extreme Lp(a) elevation.
All risk estimation systems are relatively crude and require attention to qualifying statements.
Additional factors affecting risk can be accommodated in electronic risk estimation systems such as HeartScore (www.heartscore.org).
The total risk approach allows flexibility; if optimal control cannot be achieved with one risk factor, trying harder with the other factors can still reduce risk.
In apparently healthy persons, CVD risk is most frequently the result of multiple, interacting risk factors. This is the basis for total CV risk estimation and management.
Risk factor screening including the lipid profile should be considered in men >40 years old, and in women >50 years of age or post-menopausal.
A risk estimation system such as SCORE can assist in making logical management decisions, and may help to avoid both under- and overtreatment.
Certain individuals declare themselves to be at high or very high CVD risk without needing risk scoring, and all risk factors require immediate attention. This is true for patients with documented CVD, older individuals with long-standing DM, familial hypercholesterolaemia, chronic kidney disease, carotid or femoral plaques, coronary artery calcium score >100, or extreme Lp(a) elevation.
All risk estimation systems are relatively crude and require attention to qualifying statements.
Additional factors affecting risk can be accommodated in electronic risk estimation systems such as HeartScore (www.heartscore.org).
The total risk approach allows flexibility; if optimal control cannot be achieved with one risk factor, trying harder with the other factors can still reduce risk.

CV = cardiovascular; CVD = cardiovascular disease; DM = diabetes mellitus; SCORE = Systematic Coronary Risk Estimation.

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