Zusammenfassung
Validierte Scores zur Bestimmung des kardiovaskulären Risikos erlauben es, die Individuen
zu identifizieren, die von präventiven Interventionen am meisten profitieren. Daneben
verdeutlichen sie auf individueller Basis die Folgen ungesunden Lebensstils und die
Risikoreduktion durch zielgerichtete Anpassung (z.B. LDL-C-Reduktion). Scores sind
damit ein wichtiges Instrument zur Motivation von Patienten, ihr Risikoprofil zu verbessern.
Abstract
The assessment of individual cardiovascular disease risk (CVD) is essential for a
cost-effective prevention of cardiovascular morbidity and mortality. While almost
half of the population have a very low CVD risk approximately 1/5th of the population have a CVD risk >20% over the next 10 years.
Modern risk scores like the ESC-SCORE2 help to identify those in need of intensified
preventive efforts based on basic risk factors like smoking, systolic blood pressure,
total cholesterol, age, and sex. According to current ESC-guidelines all men >45 years
and all women >55 years should be assessed with SCORE2, which is the best calibrated
and validated scoring system for Europe.
The calculation of total cardiovascular risk also permits to calculate an individual
heart-age, which makes it easier for the individual patient to understand his own
risk profile. Most current risk estimation systems can be accessed online under u-prevent.com/calculators.
Schlüsselwörter
Risiko - kardiovaskulär - Gesamtrisiko - Risikoabschätzung - Primärprävention - ESC-SCORE2
Keywords
risk - cardiovascular - total risk - primary prevention - ESC-SCORE2
