Cardiovascular disease risk assessment for primary prevention: Our approach
- Peter WF Wilson, MD
Peter WF Wilson, MD
- Professor of Medicine
- Emory University School of Medicine
Atherosclerotic cardiovascular disease (CVD) is common in the general population, affecting the majority of adults past the age of 60 years. As a diagnostic category, CVD includes four major areas:
●Coronary heart disease (CHD) manifested by fatal or nonfatal myocardial infarction (MI), angina pectoris, and/or heart failure (HF)
●Cerebrovascular disease manifested by fatal or nonfatal stroke and transient ischemic attack
●Peripheral artery disease manifested by intermittent claudication and critical limb ischemia
●Aortic atherosclerosis and thoracic or abdominal aortic aneurysm
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- OUR APPROACH TO CVD RISK ASSESSMENT
- WHO SHOULD UNDERGO ESTIMATION OF CVD RISK?
- HOW TO ASSESS CVD RISK
- Identify risk factors
- Estimate CVD risk using a risk calculator
- - Choosing a risk calculator
- - Lifetime risk
- - 10-year risk versus 30-year (lifetime) risk
- Special populations
- - Patients under 40 years of age
- - Patients over 79 years of age
- HOW OFTEN SHOULD CVD RISK BE REASSESSED?
- IMPLICATIONS OF ESTIMATED CVD RISK
- Who needs primary prevention therapy?
- Do first degree relatives of high-risk patients require screening?
- Can primary prevention therapy be discontinued?
- SUMMARY AND RECOMMENDATIONS