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 |