✅ The scale of the risk of cardiovascular disease score
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| Secondary prevention of cardiovascular diseases | Ang mga modernong gamot sa pag-imprenta ay hinahati sa 10 iba't ibang grupo ayon sa kanilang mekanismo ng pagkilos. Pagkatapos suriin ng doktor ang mga reklamo ng pasyente at ang resulta ng mga pagsusuri, nagrereseta siya ng isa o higit pang gamot, na hindi dapat baguhin nang mag-isa. Ang mga gamot sa puso at daluyan ng dugo ay hindi kabilang sa mga puwedeng irekomenda sa kaibigan. Ang maling desisyon ay maaaring magdulot ng malungkot na kahihinatnan. Lahat ng gamot na pampababa ng presyon ng dugo ay kailangan ng reseta. Sa artikulong ito, tinitingnan natin ang kanilang modernong klasipikasyon base sa mga aktibong sangkap at sa paraan ng epekto nito sa katawan. |
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The risk of cardiovascular disease in the young.
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The scale of the risk of cardiovascular disease: The SCORE approach
The assessment of individual risk for cardiovascular events is a Central aspect of the prevention of cardiovascular disease (CVD). To this end, the SCORE developed scale (Systematic COronary Risk Evaluation) — a globally recognized and validated algorithm to estimate the 10‑year risk of a fatal cardiovascular event.
Basics and development
The SCORE scale is based on data from large-scale epidemiological studies conducted in several European countries. Overall, the cohorts were analyzed, with more than 200 000 participants, the main risk factors for cardiovascular identify diseases and to quantify their collective risk profile. The development of the scale was carried out, taking into account regional differences: There are separate models exist for high-risk and low-risk regions of Europe.
Parameters of the SCORE calculation
For the risk calculation, the following five independent risk factors be used:
Age (Years, 35-70);
Gender (male or female);
Total cholesterol (mmol/l or mg/dl);
** systolic blood pressure** (mmHg);
Smoking (active Smoking Yes/no).
Each of these parameters contributes in varying degrees to the overall risk. Thus, an increased systolic blood pressure or elevated cholesterol, for example, the level of a significant increase in Risk.
Interpretation of the results
The result of the SCORE analysis is specified as a percentage of 10‑year risk:
very low risk: <1%;
low risk: ≥1%, but <5%;
medium risk: ≥5%, but <10%;
high risk: ≥10%.
A Patient with a SCORE of 5% has heirs, therefore, a 5% probability of death within the next 10 years, the effects of a cardiovascular disease, if no preventive measures are taken.
Clinical application and limitations
The SCORE scale is primarily used in the primary prevention-that is, the identification of individuals without known cardiovascular disease, however, have an increased risk of h. It helps Physicians to develop individualized prevention strategies — for example, by recommendations for lifestyle change or the initiation of any drug therapy (e.g., lipid-lowering, antihypertensive drugs).
Despite its usefulness, the scale also has limitations:
They do not take into account all risk factors (e.g., family history of Diabetes mellitus, Obesity).
The division into high — and low-risk regions can be styles in times of changing life and risk distributions to be out of date.
The scale is for people under the age of 40 and 70 years, only a limited model.
Conclusion
The SCORE scale is a valuable tool for the objective assessment of the risk of cardiovascular diseases. Their width of validation, simplicity of application and the ability to modify risk factors, make it a cornerstone of cardiovascular prevention in European medicine. A critical Interpretation of the results, taking into account individual characteristics, however, remain necessary.
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