New Zealand Guidelines Group - New Zealand Guidelines Completed

The Management of Mildly Raised Blood Pressure in New Zealand
Table 1: Estimation of Cardiovascular Risk for Men and Women


The following tables were adapted from Recommendations for the Prevention of Coronary Heart Disease in Clinical Practice from the European Societies of Cardiology, Artherosclerosis and Hypertension.





How to Use These Colour Charts
PROGNOSIS: To estimate a person's absolute 5-year risk of a cardiovascular event (new angina, MI, CHD death, stroke or TIA), find the colour block which best describes your patient's:
- gender;
- age;
- smoking;
- diabetes status (on insulin, oral hypoglycaemics, or fasting blood glucose > 8.0 mmol/L
- Reflotron or laboratory measurement);
- BP (mean of two readings on each of two occasions sufficient for assessing risk but not for establishing pre-treatment baseline);
- total cholesterol/HDL ratio (mean of two non-fasting Reflotron measurements or one laboratory measurement sufficient for assessing risk but not for establishing pre-treatment baseline).

All patients with symptomatic CVD (including angina, MI, CHF, stroke, TIA PVD) or ECG diagnosed LVH, are assumed to have a CVD risk greater than 20% in 5 years. Patients with a strong family history of CVD (1st degree of relatives: male with CVD befor e 55 years, female before 65 years) or obesity (BMI of about 30kg/m2 or more) are likely to be at greater risk than the tables indicate - consider increasing one colour category. Read off 5 year risk from colour code in key to table.

The colour boxes in the tables represent patients' level of five year cardiovascular disease risk. Put your mouse over a colour box, and click, and you will see patients the risk level, as well as benefits.



To Estimate the Cardiovascular Risk of Male Patients
The colour boxes in the table represent patients' level of five year cardiovascular disease risk. Put your mouse over a colour box, and click the box, and you will see patients the risk level and benefits in another colour table below.
Men
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To Estimate the Cardiovascular Risk of Female Patients
The colour boxes in the table represent patients' level of five year cardiovascular disease risk. Put your mouse over a colour box, and click the box, and you will see patients the risk level and benefits in another colour table below.
Women
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