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Table 1 Cardiovascular risk classifications according to the relevant Hungarian guidelines [11, 12]

From: Care management of patients with high cardiovascular risk in Hungary an international and Hungarian longitudinal comparison of target level achievement

2009

2015

Very high risk:

Very high risk:

Coronary heart disease +

o Diabetes mellitus (type 2 or type 1 with micro- or macroalbuminuria) or

o Metabolic syndrome or

o Smoking

Atherosclerotic coronary, cerebrovascular or peripheral artery disease

Acute coronary syndrome, ischemic stroke, critical limb ischemia

• SCORE ≥ 10%/10 years

• Diabetes mellitus (type 1 or 2) and ≥ 1 further major risk factor and/or target organ damage

• Severe chronic kidney disease (eGFR < 30 ml/min/1.73 m2 and proteinuria)

• Familiar hypercholesterolaemia

High risk (with CVD or equivalent):

Atherosclerotic coronary, cerebrovascular or peripheral artery disease

• Diabetes mellitus (type 2 or type 1 with micro- or macroalbuminuria)

• Chronic kidney disease

High risk without cardiovascular disease:

High risk:

Subclinical atherosclerosis:

Atherosclerotic plaque (proven by ultrasound/CT/MRI) without clinical symptoms

Ankle-brachial index ≤0.9

Presence of at least one of these serious risk factors:

• Total cholesterol > 8.0 mmol/l

• BP > 180/110 mmHg

• BMI > 40 kg/m2

• eGFR < 60 ml/min

• Micro- or macroalbuminuria, proteinuria

• Premature cardiovascular event in close relatives (men: < 55 ys, women: < 65 ys)

• Left ventricular hypertrophy

• SCORE: ≥5% /10 ys

• Metabolic syndrome

Atherosclerotic plaque (proven by ultrasound/ CT/MRI) without clinical symptoms

• Ankle-brachial index ≤0.9

• Diabetes mellitus (type 1 or 2) without further major risk factors

• Chronic kidney disease (eGFR: 30–60 ml/min/1.73 m2 and/or proteinuria)

• Premature cardiovascular event in close relatives (men: < 55 ys, women: < 65 ys)

• BP > 180/110 mmHg

• Atherogenous dyslipidemia

• BMI > 40 kg/m2

• Metabolic syndrome

• SCORE: ≥5 < 10%/10 ys

Medium risk: SCORE: 2–4%/10 ys

Low risk: SCORE: 0–1%/10 ys

  1. Abbreviations: BMI body mass index, eGFR estimated glomerular filtration rate, CT computer tomography, CVD cardiovascular disease, MR magnetic resonance imaging, RR blood pressure, SCORE systematic coronary risk evaluation