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Table 2 Patient case descriptions – study 1

From: Factors influencing general practitioners’ decisions about cardiovascular disease risk reassessment: findings from experimental and interview studies

Generic patienta scenario

Description

 

A regular patient of yours presents for a “check-up” and has no current symptoms. He/she has been trying to improve their diet and increase their physical activity levels. You have several previous blood pressure readings at approximately the same level as observed today. A recent test of electrolytes, liver function and renal function was normal.

• BMI: 27

• Past medical history: nil of note

• Family history: mother died of bowel cancer, nil family history of ischaemic heart disease

• Social history: married, lives at home

• Ethnicity: Caucasian

Patient case category

Individual risk (IR)

Absolute Risk (IR)

A (high IR, lower AR)

High (either blood pressure or cholesterol)

Lower (≤15 %)

 Ai

High (blood pressure only – systolic blood pressure [SBP] ≥147 mmHg

Lower (≤15 %)

 Aii

High (cholesterol only – total cholesterol/HDL ratio [TC/HDL] ≥6.5 mmol/L

Lower (≤15 %)

B (high IR, high AR)

High (SBP ≥147 mmHg, TC/HDL ≥6.5 mmol/L)

High (>15 %)

C (lower IR, high AR)

Lower (SBP <147 mmHg, TC/HDL <6.5 mmol/L)

High (>15 %)

D (lower IR, lower AR)

Lower (SBP <147 mmHg, TC/HDL <6.5 mmol/L)

Lower (≤15 %)

  1. aApplies to all patient case categories