50 likes | 190 Views
How can you estimate simply the cardiovascular risk of your patients?. The SCORE CHART S ytematic CO ronary R isk E valuation. Resting heart rate (RHR) an important and independent risk factor for CVD.
E N D
How can you estimate simply the cardiovascular risk of your patients?
The SCORE CHARTSytematicCOronaryRisk Evaluation • Resting heart rate (RHR) an important and independent risk factor for CVD. • Inclusion of resting heart rate in a risk estimation system for primary prevention. (eg, SCORE) may be beneficial. • SCORE is a risk estimation system recommended by the European guidelines on CVD prevention. • SCORE1 estimates 10-year CVD mortality risk based on gender, age, country of origin, total cholesterol, smoking status, and systolic blood pressure. Figure 1. Original SCORE chart.1 *CVD: cardiovasuclar diseases 1. Conroy RM, et al. Eur Heart J. 2003;24:987–1003.
Simple resting HR formula (age, gender, smoking, BMI, and resting HR) • There is increasing interest in the use of risk estimation systems, which use only easily • measured variables. • II. RHR is particularly suitable for inclusion in this type of risk estimation system: • RHR us an important and independent risk factor for CVD • It is a measure, which is simple and inexpensive to obtain • III.The National FINRISK study, a prospective population-based observational study, was the data set used for the derivation of a new simple chart for estimation of 10-year percentage risk of cardiovascular disease mortality including RHR1 1. Cooney MT et al. Eur Heart J. 2010;31:2141–2147.
Simplifying CV risk estimation using heart rate NEW Figure 2. Chart for estimation of 10-year risk of CVD mortality1 (using only age, gender, smoking, BMI, and resting heart rate) 1. Cooney MT et al. Eur Heart J. 2010;31:2141–2147.
Clinical implications • Resting heart rate is simple to measure and inexpensive to obtain • Heart rate could be routinely measured in the assessment of CVD risk. • Simple CV risk estimation system using resting heart rate enhances cost-effectiveness and accessibility of risk estimation Cooney MT et al. Eur Heart J. 2010;31:2141–2147.