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Table of risks of cardiovascular diseases (SCORE System)
The Act of preventive measures against cardiovascular diseases requires a reliable assessment of individual risk. For the standardization of this assessment, the SCORE System was developed (Systematic COronary Risk Evaluation) — an evidence-based method to estimate the 10‑year risk of a fatal cardiovascular event.
Basics of SCORE system
The SCORE table is based on data from large epidemiological studies in Europe and allows a differentiated risk classification. It takes into account five main risk factors:
Age (Years, 35-70)
Gender (male/female)
Tobacco use (Yes/no, current Smoking status)
Serum cholesterol levels (total, in mmol/l or mg/dl)
systolic blood pressure (in mmHg)
The structure and application of the SCORE table
The table is available in two main variants:
SCORE for high-risk areas (e.g., Central Europe, Eastern Europe), with higher risk estimates.
SCORE for low-risk areas (e.g., France, Spain, Portugal), with lower risk ratings.
The use of the table consists of the following steps:
Selection of the proper table (high/low risk area) and sex.
Search for the line that corresponds to the age of the patient.
Determination of the column that corresponds to the systolic blood pressure value.
Within the cell: selection of the field that corresponds to the level of cholesterol and Smoking status.
Reading of the 10‑year risk in percent (%).
Interpretation of the risk categories
The SCORE result is divided into the following categories:
very low risk: <1%
low risk: ≥1% and <5%
medium risk: ≥5% and <10%
high risk: ≥10% and <15%
very high risk: ≥15%
Limitations and clinical relevance
Although the SCORE System is an important tool in cardiovascular prevention, it also has limitations:
It is only the risk for fatal cardiovascular events, estimates, not for non‑lethal (e.g., myocardial infarction without lethality).
It is validated for individuals aged 35-70 years.
Other risk factors (e.g., Diabetes mellitus, family history, Obszität) are not directly taken into account, but should be additionally evaluated.
Despite these limitations, the SCORE table serves as an important decision-making basis for the indication of prevention measures such as lifestyle changes, blood pressure lowering or lipid-lowering therapy.
A sedentary lifestyle, alcohol, and cigarette consumption increase body weight which in turn hinders healthy blood circulation and strength of arteries and veins. This results in high blood pressure. So, if you’re overweight, you need to monitor your blood pressure frequently.
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If you have disturbed sleep, fatigue, disorientation, confusion, or nervousness, it's time to monitor your blood pressure. Either lack of sleep or too much sleeping might mean your blood pressure is high or low. If it’s left untreated, you will soon face an onslaught of multiple illnesses. Una sa lahat, ang mga Beta-blocker ay karaniwang ibinibigay sa mga pasyente na may heart failure, aortic aneurysm, pagkatapos ng myocardial infarction, at sa mga kababaihan na nasa edad ng pagbubuntis, lalo na sa mga kababaihang nagpaplano ng pagbubuntis. Madalas matanggap ng katawan ang Beta-blocker, pero maaari rin itong magdulot ng pantal sa balat at bradycardia – sobrang bagal ng tibok ng puso.