Only includes people who have not had a cardiovascular event. Assessment of the absolute risk of a cardiovascular event over the next 5 years. The guidelines used in this assessment was developed by the National Vascular Disease Prevention Alliance (NVDPA). Based on evidence and clinical consensus, it has been suggested that calculation of absolute CVD risk is not necessary for certain population groups who are known to be at increased risk (NVDPA 2012). These groups are: - persons with diabetes and >60 years old;
- persons with diabetes with microalbuminuria (i.e. >20 mcg/min for all persons, or UACR >2.5 mg/mmol for males, >3.5 mg/mmol for females);
- persons with moderate or severe chronic kidney disease (i.e. persistent proteinuria or eGFR < 45 mL/min/1.73m2);
- persons with a previous diagnosis of familial hypercholesterolaemia;
- persons with a systolic blood pressure result of ≥180 mmHg or a diastolic blood pressure result of ≥110 mmHg;
- persons with serum total cholesterol >7.5 mmol/L; or
- persons aged 75 and over.
People known to be in one of these groups should be classified as 'high risk'. |