心血管风险评估（10年，ACC/AHA 2013)

 

输入:
 

种族	非裔美国人
	白种人
	其他（见注释）
性别	女性
	男性
年龄		mo yr
总胆固醇		mg/dL mmol/L
高密度脂蛋白胆固醇		mg/dL mmol/L
收缩压		Pascal atm bar cmH2O cmHg ftH2O gm/sqcm inH2O inHg kPa mbar mmHg psi torr
服用降血压药	否
	是
糖尿病	否
	是
吸烟者	否
	是

 

结果:
 

10 年风险		% fraction ratio
小数点精确度   0 1 2 3

 

 

注意

• 该计算器有助于预测以下动脉粥样硬化性心血管疾病事件的10 年风险：
  • 非致命性心肌梗死的 首次发作
  • 冠心病 (CHD) 致死
  • 致命或非致命性卒中
• 该计算器可能会高估相关风险（参考 Lancet 文献），若有任何问题，需要与患者探讨。
• 风险评估开发主要基于白种和非裔美国人受试者群体。对于美洲印第安人、南亚血统的亚裔美国人以及波多黎各人而言， 相关风险有可能被低估。对于东亚血统的亚裔美国人以及部分墨西哥裔美国人而言， 风险可能被高估。

 

参考

1. Goff DC Jr, Lloyd-Jones DM, Bennett G, et.al. 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2013 Nov 12. PubMed ID: 24222018
2. Stone NJ, Robinson J, Lichtenstein AH, et al. 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2013 Nov 12. PubMed ID: 24222016
3. Ridker PM, Cook NR. Statins: new American guidelines for prevention of cardiovascular disease. Lancet. 2013 Nov 30;382(9907):1762-5. doi: 10.1016/S0140-6736(13)62388-0. Epub 2013 Nov 20. PubMed ID: 24268611
4. Downs J, Good C. New Cholesterol Guidelines: Has Godot Finally Arrived?. Ann Intern Med. 2014 Jan 28. doi: 10.7326/M13-2850. PubMed ID: 24473934
5. Vaishnava P, Eagle KA. ACP Journal Club. ACC/AHA, Adult Treatment Panel III, and ESC guidelines overestimated risk for CVD in older adults. Ann Intern Med. 2014 Aug 19;161(4):JC13. PubMed ID: 25133380
6. Kavousi M, Leening MJ, Nanchen D, et al. Comparison of Application of the ACC/AHA Guidelines, Adult Treatment Panel III Guidelines, and European Society of Cardiology Guidelines for Cardiovascular Disease Prevention in a European Cohort. JAMA. 2014 Mar 29. doi: 10.1001/jama.2014.2632. PubMed ID: 24681960
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8. Muntner P, Colantonio LD, Cushman M, et al. Validation of the Atherosclerotic Cardiovascular Disease Pooled Cohort Risk Equations. JAMA. 2014 Mar 29. doi: 10.1001/jama.2014.2630. PubMed ID: 24682252
9. DeFilippis AP, Young R, Carrubba CJ, et al. An analysis of calibration and discrimination among multiple cardiovascular risk scores in a modern multiethnic cohort. Ann Intern Med. 2015 Feb 17;162(4):266-75. PubMed ID: 25686167
10. Ridker PM, Cook NR. Comparing cardiovascular risk prediction scores. Ann Intern Med. 2015 Feb 17;162(4):313-4. PubMed ID: 25686171