Categorisation of Cardiovascular Risks: Very high, High, Moderate, or Low Risk Category – 2017
█ Review
DOI: 10.26430/CHUNGARICA.2018.48.2.141
Authors:
Pados Gyula1, Karádi István2, Kiss Róbert Gábor3, Paragh György4, Tóth Kálmán6, Bajnok László6, Szollár Lajos15
1Szt. Imre Egyetemi Oktatókórház, Anyagcsere Központ, Budapest;
2Semmelweis Egyetem ÁOK, III. sz. Belgyógyászati Klinika, Budapest;
3Honvédkórház, Kardiológiai Osztály, Budapest;
4Debreceni Egyetem Klinikai Központ, I. sz. Belgyógyászati Klinika, Anyagcsere Betegségek Tanszék, Debrecen;
5Semmelweis Egyetem ÁOK, Kórélettani Intézet, Budapest;
6Pécsi Tudományegyetem, Klinikai Központ, I. sz. Belgyógyászati Klinika, Pécs
Summary
Since 2003, the First Hungarian Cardiovascular Consensus Conference (MKKK), there have been several changes in the cardiovascular (CV) risk categories. Recently, we have included into the very high risk category the CV diseases which were clinically proven or documented by imaging methods, severe kidney diseases (GFR £30 ml/mins) accompanied by proteinuria, diabetes and/or target organ damage, or cases where at least one major risk factor was present. Based on the agreement between the Association of the Hungarian Cardiologists (MKT) and the Hungarian Association of Atheroclerosis (MAT), familial hypercholesterolemia (FH) remained in this category optionally. In terms of simplification, we have made changes in the high, moderate and low categories: instead of the highlighted listing of the risk factors, the SCORE chart was emphasized, which defines the categorisation according to the presence and degree of the four major risk factors (age, smoking, hypertension and hypercholesterolemia). In this way, we also wish to urge physicians to apply the SCORE chart more often. Into the high risk category diabetes patients omitted from the very high risk category, the relatively less severe forms of kidney diseases were included, as well as one marker of the peripheral atherosclerosis, and also those with the SCORE value of 5-9%. In the moderate and low category we have only retained the SCORE chart (at the level of >1%-<5%/10 years, respectively.) To achieve this consensus, first of all, the agreement of the initiating and founding MAT and MKT was needed. Our present recommendation for the risk categorisation largely corresponds with the 2016 guidelines of ESC/EAS.
ISSUE: CARDIOLOGIA HUNGARICA | 2018 | VOLUME 48, ISSUE 2
click here to read the full article |
click here to read the pdf |