The calculator is relevant because type II diabetes not only is a risk factor for most cardiovascular diseases but also because these patients have a three times higher risk than general population.Ĭurrent guidelines recommend treating diabetes patients equivalent to patients with previous cardiovascular events in order to prevent CVDs. ■ Scores below 18: Average risk – less than 15% probability of developing Coronary Heart Disease (CHD) in the next 10 years. ■ Scores between 18 and 31: Elevated risk – 15 to 30% probability of developing Coronary Heart Disease (CHD) in the next 10 years. ■ Scores above 31: High risk – above 30% probability of developing Coronary Heart Disease (CHD) in the next 10 years. There are three layers of risk as detailed in correlation with the numeric results given in the calculator above: ![]() The original UKPDS is a specific stratification method for patients suffering from type 2 diabetes and approximates risk of non-fatal and fatal coronary heart disease, non-fatal and fatal stroke. Absence or very low levels of albuminuria is associated with low CV risk: Microalbuminuria is highly prevalent in hypertensive and diabetic patients. ■ Urine microalbumin in mcg/min – excretion of albumin in the urine levels as an early and independent marker of cardiac illness. Usually, the higher total cholesterol the higher the risk but the proportion between HDL the high density lipoprotein and LDL the low density cholesterol are also responsible for the prospective build up or not in the artery walls: ■ Total cholesterol/HDL – this ratio is used because of the higher relevance of HDL compared to triglyceride levels. ■ Systolic blood pressure in mmHg – indicating early signs of hypertension or associated comorbities: ■ Hemoglobin A1c – the measure correlated with blood glucose control and post meal levels associated with risk of increased arterial diameter and thickness: It also appears that smoking decreases HDL levels: ■ Smoking status – by itself, smoking increases blood pressure, blood’s clotting tendencies as well as risk of recurrent coronary surgery. ■ Diabetes duration – the UKPDS tools are specific in terms of how long the patient has had the disease and award different weights depending on the length of time: More than 74 years (male: 41 points female: 22 points). Between 60 and 74 years (male: 20 points female: 9 points) Less than 60 years (male: 6 points female: 0 points) ![]() ■ Gender – the following item, age factor is weighted by gender specificity suggesting the higher risk of males to develop CVDs. The factors taken into account in the UKPDS cardiac risk calculator are explained below: It reveals the risk in percentage of developing coronary heart disease (CHD) in the following 10 years. This is a health tool based on the UK Prospective Diabetes Study that tries to bring together the main cardiovascular risk factors in the cases of patients suffering from diabetes. How does the UKPDS cardiac risk calculator work?
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |