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The table to the assessment of the risk of cardiovascular diseases
The assessment of individual risk for cardiovascular disease (CVD) represents a major component of preventive medicine. A standardized table for the risk assessment allows Physicians, the likelihood of a cardiovascular event (e.g. myocardial infarction or stroke) in the next 10 years for a patient to be assessed.
Fundamentals of risk table
A typical risk table is based on evidence-based data and integrates several modifiable and non-modifiable risk factors. Among the most important parameters:
Age (in years): A non-modifiable factor, in which the risk increases with age.
Gender (male/female): men in younger age groups are at increased risk; in women, the risk increases after Menopause significantly.
Serum cholesterol (total, in mmol/l or mg/dl): in Particular, the LDL‑cholesterol level is strongly correlated with CVD risk.
High-pressure (blood pressure) (in mmHg): Systolic and diastolic blood pressure are direct indicators of the load on the cardiovascular system.
Smoking (Yes/no): The Smoking of tobacco products increases the risk significantly by endothelial dysfunction and atherosclerosis.
Diabetes mellitus (a metabolic disorder): Diabetes is a strong independent risk factor for CVD.
Family history of early CVD (e.g., father or brother < 55 years, mother or sister < 65 years): Genetic predispositions play an important role.
The structure and application of the table
The table is usually organized as a Matrix, the different categories for each risk factor. The values are combined to calculate an overall risk score. For example:
The Parameter Category 1 Category 2 Category 3
Age 30-40 Years 41-50 Years 51-60 Years
Cholesterol < 4,0 mmol/l 4,1–5,0 mmol/l > 5.0 mmol/l
Blood pressure < 120/80 mmHg 121-139/81-89 mmHg ≥ 140/90 mmHg
Smoking No Yes Longtime Smokers
Each combination of the categories is associated with a numeric value, or a risk category (low, medium, high, very high).
Interpretation of the results
From the table the value determined in the probability (%) of a major is cardiovascular event in the next 10 years:
Low Risk: <5%
Medium Risk: 5-10%
High Risk: 10-20%
Very high risk: > 20%
Clinical relevance and limitations
The risk table is used as an aid to decision-making for preventive measures:
In the case of low-risk healthy lifestyle is recommended.
In more risk or high-risk intensive interventions are necessary, for example, medication (statins, antihypertensive agents) and close Monitoring.
Limitations of the chart:
They do not take into account all possible risk factors (e.g., chronic inflammation, psychosocial Stress).
The accuracy depends on the Population for which it was designed (e.g. EURO core, SCORE risk chart for Europe).
The time horizon (10 years) can appreciate the risk.
Conclusion
The standardized table for the evaluation of cardiovascular risk is an indispensable tool in clinical practice. It allows an objective, data-based, risk-stratification, and directs individual prevention strategies. Regular updates to the table on the Basis of new epidemiological studies are required, however, to ensure their validity.
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Isang malawak na pagpipilian ng mga gamot mismo pati na rin ng mga pamamaraan para sa pagbawas ng gamot mula sa mataas na presyon ang nagbibigay-daan sa iyo na pumili ng pinaka-komportableng programa ng paggamot – ang abot-kaya sa gastos, na may minimal na pagpapakita ng mga side effect, at isinasaalang-alang ang ibang kasamang sakit. Kapag matagal ang pag-inom ng tabletas at binabago ng doktor ang gamot, ito ay dahil ang ilang gamot ay may katangian na magdulot ng pagkagumon, na nagreresulta sa kaunting pagbaba ng bisa nito. Bukod dito, hindi lahat ng grupo ng gamot ay angkop para sa mga pasyente sa iba't ibang edad, at may mga limitasyon din sa pagiging compatible nito sa ibang uri ng gamot.
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Minsan, dinadagdagan ng doktor ang base na therapy (mga gamot na kailangang inumin araw-araw) ng mga gamot na iniinom kapag may krisis, kapag ang presyon ay sobrang taas at biglang tumaas. At ang dosis ay pinipili rin nang napaka-indibidwal. Kaya imposible na sabihin kung alin ang pinakamahusay na gamot sa presyon, sa bawat kaso ay magkakaroon ng sariling kombinasyon na bagay sa iyo. Nililinis ang mga ugat na kailangang alagaan mula sa deposito at pinananatili ang kinakailangang lakas ng tibok ng puso!