Categories of cardiovascular risk | Determining factors |
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Very high risk | Subjects with any of the following: • Documented CVD, clinical or unequivocal on imaging. Documented clinical CVD includes previous AMI, ACS, coronary revascularisation or other arterial revascularisation procedures, stroke, TIA, aortic aneurysm, and PAD. Unequivocally documented CVD on imaging includes plaque(s) on coronary angiography or carotid ultrasound. • DM with target organ damage such as proteinuria or with a major risk factor such as smoking or marked hypercholesterolaemia or marked hypertension. • Severe CKD (GFR < 30 ml/min/1.73 m2). • A calculated SCORE ≥ 10%. |
High risk | Subjects with: • Markedly elevated single risk factors, especially cholesterol > 8 mmol/l (e.g., in familial hypercholesterolaemia) or BP ≥180/110 mmHg. • Most other people with DM (except for young people with type 1 DM and without major risk factors who may be at low or moderate risk). • Moderate CKD (GFR 30–59 ml/min/1.73 m2). • A calculated SCORE ≥ 5 and < 10%. |
Moderate risk | • SCORE is ≥1 and < 5% at 10 years. |
Low risk | • SCORE < 1%. |