Heart disease affects millions of people across
the globe. These days, one of the most common reasons why young people visit
doctors is not just for the common cold or flu, but also to find out what their
chances of developing heart disease are.
Years ago, a group of researchers started
looking into whether an individual’s risk of developing heart disease could be
estimated.
Looking at normal parameters such as high blood pressure, diabetes,
heart disease in the family and a history of high cholesterol and smoking were
all well and good, but there was no way to know what exactly a person’s risk
was in years to come.
In 1946, scientists embarked on the Framingham
Heart Study.
This remains, to date, one of the largest heart studies performed
all over the world. This study was so robust and remarkable, that to this day
we use data published from this to determine an individual’s heart disease
risk.
Not only that, the study also provided valuable insights into how various
risk factors affect the heart and how one can make changes to reduce their
risk.
The risk scoring system takes into account
various parameters including age and gender, and churns out a 10 year risk
score.
This risk score determines what a person’s chances are of having a heart
attack in 10 years time.
Those who have a low risk score have a 10% chance of
heart disease in 10 years, those with an intermediate risk score have a 10 – 20
% risk while those with a high risk score have a >20% risk.
Since the Framingham risk score emerged, a
number of different scoring systems are being used not only to predict chances
of developing heart disease, but also outcomes of patients following a heart
attack.
The Q-risk score is being used more widely these days. Similarly, the
GRACE score and CHADS2VASc scoring systems are also used for patients with
heart disease.
No comments:
Post a Comment