Tab. 1.
Risk category | RF | SCOREa (10-year risk; %) | Framinghamb (10-year risk; %) | Vascular and/or metabolic morbidity |
---|---|---|---|---|
Very high | ≥ 10 | Manifest coronary heart disease (CHD) Ischemic stroke or transitory ischemic attack (TIA) + evidence for atherosclerosis Peripheral arterial occlusive disease (PAOD) Type 2 diabetes Type 1 diabetes with end-organ damage (EOD; e. g., albuminuria) Moderate to severe nephropathy Progressive or recurrent CHD in spite of LDL‑C < 100 mg/dl |
||
High | > 2 | ≥ 5 | > 20 | Familial hypercholesterolemia (FH) Type 1 diabetes + age > 40 years without target-organ disease Distinctly increased individual risk factors (e. g., familial hypertension, severe hypertension) |
Moderate | 2 | 1–5 | 10–20 | |
Low | 0–1 | < 1 | (mostly < 10) |
RF risk factor/marker, LDL‑C low-density lipoprotein cholesterol
a SCORE (Systematic COronary Risk Evaluation) is based on data from 12 European cohort studies with a total of more than 205,000 participants and gives information about the risk of cardiovascular mortality, calculated for 10 years or until age 60 [13]
bThe Framingham tables are based on data from the Framingham Heart Study with approximately 5,000 participants and provide an estimation of absolute CHD risk over a period of 10 years (relating to the endpoints lethal/nonlethal myocardial infarction and sudden cardiac death) [14]