Generic patienta scenario | Description | |
---|---|---|
A regular patient of yours presents for a “check-up” and has no current symptoms. He/she has been trying to improve their diet and increase their physical activity levels. You have several previous blood pressure readings at approximately the same level as observed today. A recent test of electrolytes, liver function and renal function was normal. | ||
• BMI: 27 | ||
• Past medical history: nil of note | ||
• Family history: mother died of bowel cancer, nil family history of ischaemic heart disease | ||
• Social history: married, lives at home | ||
• Ethnicity: Caucasian | ||
Patient case category | Individual risk (IR) | Absolute Risk (IR) |
A (high IR, lower AR) | High (either blood pressure or cholesterol) | Lower (≤15 %) |
Ai | High (blood pressure only – systolic blood pressure [SBP] ≥147 mmHg | Lower (≤15 %) |
Aii | High (cholesterol only – total cholesterol/HDL ratio [TC/HDL] ≥6.5 mmol/L | Lower (≤15 %) |
B (high IR, high AR) | High (SBP ≥147 mmHg, TC/HDL ≥6.5 mmol/L) | High (>15 %) |
C (lower IR, high AR) | Lower (SBP <147 mmHg, TC/HDL <6.5 mmol/L) | High (>15 %) |
D (lower IR, lower AR) | Lower (SBP <147 mmHg, TC/HDL <6.5 mmol/L) | Lower (≤15 %) |