Table of risks of cardiovascular diseases score

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Table of risks of cardiovascular diseases score



Table of risks of cardiovascular diseases score


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Table of risks of cardiovascular diseases (SCORE System)The Act of preventive measures against cardiovascular diseases requires a reliable assessment of individual risk. For the standardization of this assessment, the SCORE System was developed (Systematic COronary Risk Evaluation) — an evidence-based method to estimate the 10‑year risk of a fatal cardiovascular event.Basics of SCORE systemThe SCORE table is based on data from large epidemiological studies in Europe and allows a differentiated risk classification. It takes into account five main risk factors:Age (Years, 35-70)Gender (male/female)Tobacco use (Yes/no, current Smoking status)Serum cholesterol levels (total, in mmol/l or mg/dl)systolic blood pressure (in mmHg)The structure and application of the SCORE tableThe table is available in two main variants:SCORE for high-risk areas (e.g., Central Europe, Eastern Europe), with higher risk estimates.SCORE for low-risk areas (e.g., France, Spain, Portugal), with lower risk ratings.The use of the table consists of the following steps:Selection of the proper table (high/low risk area) and sex.Search for the line that corresponds to the age of the patient.Determination of the column that corresponds to the systolic blood pressure value.Within the cell: selection of the field that corresponds to the level of cholesterol and Smoking status.Reading of the 10‑year risk in percent (%).Interpretation of the risk categoriesThe SCORE result is divided into the following categories:very low risk: <1%low risk: ≥1% and <5%medium risk: ≥5% and <10%high risk: ≥10% and <15%very high risk: ≥15%Limitations and clinical relevanceAlthough the SCORE System is an important tool in cardiovascular prevention, it also has limitations:It is only the risk for fatal cardiovascular events, estimates, not for non‑lethal (e.g., myocardial infarction without lethality).It is validated for individuals aged 35-70 years.Other risk factors (e.g., Diabetes mellitus, family history, Obszität) are not directly taken into account, but should be additionally evaluated.Despite these limitations, the SCORE table serves as an important decision-making basis for the indication of prevention measures such as lifestyle changes, blood pressure lowering or lipid-lowering therapy.

Kasabay nito, hindi inirerekomenda ang pangmatagalang pag-inom ng mga gamot mula sa kategoryang Diuretics, dahil ang mahahalagang sangkap tulad ng Potassium, Calcium, Magnesium ay mabilis na nailalabas sa katawan kasama ng sobrang tubig at asin. Alinsunod sa katangiang ito, sinasabayan ng mga Diuretics ang pag-inom ng mga gamot na may laman ng mga sangkap na ito. Maaaring ito ay mga vitamin at mineral na complexes, monokomponent, o mga suplemento sa pagkain na may napatunayang klinikal na bisa. Table of risks of cardiovascular diseases score. Kasabay nito, hindi inirerekomenda ang pangmatagalang pag-inom ng mga gamot mula sa kategoryang Diuretics, dahil ang mahahalagang sangkap tulad ng Potassium, Calcium, Magnesium ay mabilis na nailalabas sa katawan kasama ng sobrang tubig at asin. Alinsunod sa katangiang ito, sinasabayan ng mga Diuretics ang pag-inom ng mga gamot na may laman ng mga sangkap na ito. Maaaring ito ay mga vitamin at mineral na complexes, monokomponent, o mga suplemento sa pagkain na may napatunayang klinikal na bisa.

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Isang malawak na pagpipilian ng mga gamot mismo pati na rin ng mga pamamaraan para sa pagbawas ng gamot mula sa mataas na presyon ang nagbibigay-daan sa iyo na pumili ng pinaka-komportableng programa ng paggamot – ang abot-kaya sa gastos, na may minimal na pagpapakita ng mga side effect, at isinasaalang-alang ang ibang kasamang sakit. Kapag matagal ang pag-inom ng tabletas at binabago ng doktor ang gamot, ito ay dahil ang ilang gamot ay may katangian na magdulot ng pagkagumon, na nagreresulta sa kaunting pagbaba ng bisa nito. Bukod dito, hindi lahat ng grupo ng gamot ay angkop para sa mga pasyente sa iba't ibang edad, at may mga limitasyon din sa pagiging compatible nito sa ibang uri ng gamot.