What is a high-risk patient?
Patients With established atherosclerotic CVD. whether Of the coro-
nary. peripheral, cerebral vessels. or of the aorta. even if asyntptomatic.
Asymptomatic individuals Who are at increased risk Of CVD because Of
• multiple risk factors resulting in raised total CVD risk:
JES4:' total CVD risk (SCORE) 2 to-year risk ofCVD death
JBS2•.2 total CVD risk 20% over 10 years of developing atheroscle-
rotiC CVD
• diabetes type 2 and type 1
• markedly increased single risk factors, especially if associated with
end-organ damage:
JES4: blood pressure 180/110 mmHg total cholesterol 2 8
mmol/l (—320 mg/dl), LDL cholesterol 2 6 mmol/l (—240 mg/dl)
JBS2: blood pressure 2 160/100 mm Hg; total cholesterol/HDL
cholesterol ratio 2 6.
Close relatives of subjects with premature atherosclerotic CVD or of
those at particularly high risk
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