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1、Estimating Risk of CHD in Men男性心血管事件的风险评估Step 1吕诧p 2AgeYeai5LDL PtsChoi Pt53 0-34-1-13S-390田4 0-441145-492：25 0-543355-554E46 0-545ES65-59&70-7477LDL-C(irtg/di)(irrmolL)i_DL Pis1002.59-3100-1292.60-3.3613Q-1553.37-440160-1904.1 5-4.9211904.322ChoiesTero!mmol/L)ChoF Pts1604.1 4-3160-1994.1 5-5.1 702O
2、D-2395.1 8-6.21R240-275672-7.242jZBO7.Z5【刿Step 3HDL-C【阿gr曲tmnrtol/QLDL PtsChoi Pts0.0223 5-44 91 -1.161ill45-491 .17-1.29005 0-591 .30-1.5S00Neci1.56-1-2Step 4Blood Pressuremm HgsoSD-S4S5-89tastoic (mm Hg)9 0-39妙00s.kgreenVery towwh iteLowyellowMod&rat eroseHighred#Ery highsHard CHD 亡vents exclude a
3、ngina pfutoriwstLow risk was calculated For a person the same agea optimal bl-ood pressure, LDL-C 丁 00-129mg:dl or cholesterol 160-199 mg dl, HDL-C 45 mg dl for men or 55 mg dl for women, non-smoker, no diabetes.Risk estimates were derived rrom the experience of the Framinghain Heart Study, a. predo
4、miHantly Caucasian population in Massachusetts USA.Estimating Risk of CVD in Men男性心血管事件的风险评估Estimate： of Risk of CVD in MenCVD RointsPointsAgeHDLCholesterolSEP NotT restedSEPTreated5mokerD tabetic-260+120-150-530030-3445-49160120-1 Z9幻20NoNo135-44160-1 99130-1 39235-3935200-23914D-1 591 2 0-1293240-
5、279160+130-139Yes42S0+14&-1S5Yes540-441 50 +6 45-497B50-5491 055-591 160-641 265-691 31 470-741 575-rPointsRiskPointsRiskPoinisRisk-3 oriessBelovr II53.9S1315.6S-2丨.尺64.7X1418.4S-1.4K75.6SIE21.6S01.6SS&础丨625.3S11.9幣57券1725.4S2J.3Sm9.4舛18+AbozeSGS32.6%n11.2%43.3%1213.吝CVDHeart AgeVascutar AgeEstimati
6、ng Risk of CVD in Women女性心血管事件的风险评估Estimate of R.isk of CVD in WomenCVD PoirtsTotal SBP Not SBPPointsAgeHDLCiDesierofTreatedT reaped5mokerDiatieEic-3：J2D-260-r-150-59-120D3D-3445-49-160120-129NoNo135-441 50-1991 30-139235-393S14&-149120-1 293200-239130-1 39Yes440-44240-2791 SO-159Yes545-49-2B0-r160+
7、14Q-1436150-1 59750-54160-b7 55-S9-8 6D-&41 065-691 170-741 2十CVO RiskPointsRiskPointsRiskPointsRhk-2 口1 旳Beloxv 1%63.3361411.7S-11.0%13.3%1513.為D1.2%a4.5%1615.9S11.5%95.3%1718.5%21.7%106.33n1821.5%32.0%Ti7.3%192 4.as42.4%12IQ2B.5Si2.8%1310.3%2Above 30%Heart Ae/Vascular AgePOINTSHEART ACEPOINTSHEART
8、 AGEL&55than 1Younger than 30B51I3195523410593361164斗3912网5421373645147914S15十QI ter than 孔2010年心血管疾病一级预防中国专家共识未来10年心脑血管事件危险10%的患者应常规服用阿司匹林预防心肌梗死发生！10年心脑血管事件危险10%的患者包括：-.50岁以上高血压；高血压合并糖尿病；高血压合并靶器官损害二. 40岁以上糖尿病合并一项危险因素三. 合并三项危险因素以上的患者“两咼加一项危险因素10年风险大于10%备注：心血管危险因素：高血压、糖尿病、高血脂、年龄50岁、吸烟、肥胖、冠心病家族史靶器官损伤：左室肥厚、IMT厚度、粥样斑块、PWV、踝臂指数、血肌酐、GFR或肌酐清除率、微量蛋白尿
