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Assessing the risk

New Joint British Societies' Guidelines on prevention of cardiovascular disease

The new Joint British Societies' Guidelines on the prevention of cardiovascular disease(CVD) in clinical practice are a collaboration between the British Cardiac Society, British Hypertension Society, Diabetes UK, HEART UK, Primary Care Cardiovascular Society and The Stroke Association.

The aim is to promote a consistent multi-disciplinary approach to the management of people with established CVD and those at high risk of developing it. The guidelines - to be disturbed to GPs across the UK - set tougher targets for the following, in people deemed to be at higher risk:

This includes people with thickened arteries, renal failure and for the first time, everyone with diabetes.

The Joint British Societies' Guidelines call for doctors to assess whether all patients aged over 40 would benefit from comprehensive tests for cardiovascular disease. They also stress that younger adults should be screened if they have a family history of early onset artery damage.

The guidelines strongly recommend that GPs take a more proactive approach to preventing CVD.

Calculating CHD risk

This section provides links to websites which have tools to assist with the prediction of various conditions relating to coronary heart disease.

The National Heart Forum is in no way responsible or liable for the content or suitability of these sites.

Joint British Recommendations Coronary Risk Prediction Calculator

Computes coronary heart disease and stroke risk as the percentage likelihood of an event over a period of 10 years.
http://www.bnf.org/bnf/extra/50/noframes/450024.htm

UKPDS Risk Engine

The UKPDS Risk Engine is a type 2 diabetes specific risk calculator based on 53,000 patients years of data from the UK Prospective Diabetes Study.
http://www.dtu.ox.ac.uk/

Sheffield Table for Primary Prevention of CHD

These tables (age versus total cholesterol level) were used by health care workers to identify the treatment threshold for cholesterol which conferred an estimated risk of coronary events of 3.0% per year. http://www.patient.co.uk/showdoc/40002293/
http://bmj.bmjjournals.com/content/vol320/issue7236/images/large/wale3599.f1.jpeg

A risk score for cardiovascular disease

This website enables physicians and the general public to readily assess a person's risk of dying within five years from cardiovascular disease, including both stroke and heart disease.
http://www.riskscore.org.uk/

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