Læknablaðið - 15.04.1999, Page 8

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LÆKNABLAÐIÐ 1999; 85
Risk Level
Very high L over 40%
High _ 20% to 40%
Moderate J 10% to 20%
Mild 5% to 10%
Low Z under5%
Coronary
Primary Prevention
men n
Risk of Coronary Heart Disease
Non-smoker
mg/dl 150 200 250 300
-i 1----1-1—
mmol/l 4 5 6 7 8
180
160
140
120
I
£
E
CQ
u
180
160
^140
120 -
180
160
140
120
mmol/l 4 5 6 7 8
_i___í___i___i_
mg/dl 150 200 250 300
Cholesterol
Smoker
mg/dl 150 200 250 300
-i--1---;-1—
mmol/l 4 5 6 7 8
—i—i—;—i—i—
180
160
140
120
60
50
40
180
160
140
120
3
V)
V)
(U
u
Q_
•o
O
o
OQ
o
>s
1/5
180
160
140
120
Cholesterol
How to use the Coronary Risk Chart for Primary Prevention
The chart is for estimating coronary heart disease (CHD) risk for individuals who have not developed symptomatic CHD or other
atherosclerotic disease. Patients with CHD are already at high risk and require intensive lifestyle intervention and, as necessary, drug therapies
to achieve risk factor goals.
To cstimatc a pcrsons absolutc 10 year rísk of a CHD cvcnt, find
thc table for their gender, smoking status and agc. Within the table,
find the cell ncarcst to thcir systolic blood pressurc (mmHg) and total
cholcstcrol (mmol/1 or mg/dl).
Thc efféct of lifctime cxposurc to risk factors can bc sccn by following
the rable upwards. This can bc uscd whcn advising youngcr pcoplc.
High risk individuals are dcfincd as those whosc 10 year CHD risk
cxcccds 20% or will exceed 20% if projected to age 60.
Mynd 1. Reprintedfrom European Heart Journal, Volume 19/Suppl. A. Wood D, et al. European and American recommendations for
coronary heart disease prevention: A12-A19. © 1998, by permission ofthe publisher WB Saunders Company Limited.