✔ Scale the calculation of the risk of cardiovascular diseases
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Scale to calculate the risk of cardiovascular diseases
The assessment of individual risk for cardiovascular disease (CVD) represents a major component of preventive medicine. For the objective quantification of this risk, types of risk have been developed scale, of which the SCORE scale (Systematic COronary Risk Evaluation) is an internationally recognized Standard.
1. Basics of the SCORE scale
The SCORE scale was developed by the European Society of Cardiology (ESC) and is used for the estimation of 10‑year risk of fatal cardiovascular event (e.g. myocardial infarction, severe stroke). The scale is based on epidemiological data from several European countries and distinguishes between low‑ and high-riskoreichen regions of Europe.
2. Parameters for risk calculation
For the calculation according to the SCORE method, the following five independent risk factors be used:
Age (in years, 35-70 years);
Gender (male/female);
Serum cholesterol levels (total, in mmol/l or mg/dl);
systolic blood pressure (in mm Hg);
Smoking (active Smoking: Yes/no).
3. Interpretation of the results
The SCORE result is expressed as a percentage value and classified the risk as follows:
low risk: <1%;
mitteles risk: 1-4,9%;
high risk: 5-9,9%;
very high risk: ≥10%.
A risk of ≥5% within 10 years, is considered to be indication for intensified preventive measures, including lifestyle-related interventions and, if necessary, drug therapy (e.g., lipid-lowering, antihypertensive drugs).
4. Limitations and restrictions
Although the SCORE scale is widely used, it has the following limitations:
It does not take into account family history of early CVD.
It is for persons under the age of 40 or over the age of 65 are less meaningful.
Other risk factors such as Diabetes mellitus, Obesity or lack of exercise are not included directly in the calculation.
5. Conclusion
The SCORE scale is a practical and evidence‑based tool for the objective assessment of the risk of cardiovascular diseases. Their application enables a targeted risk stratification, and forms the basis for individual prevention strategies. Regular updating and development of the scales, however, are required to take account of new risk factors, and demographic changes.
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