Lloyd-Jones et al evaluated adults at 50 years of age for burden of cardiovascular risk factors. This can help to determine the risk of cardiovascular disease later in life. The authors are from Northwestern University, Boston University and the National Heart, Lung and Blood Institute.
Patient selection: age at 50 years of age
Optimal risk factors:
(1) serum total cholesterol < 180 mg/dL
(2) systolic blood pressure < 120 mm Hg
(3) diastolic blood pressure < 80 mm Hg
(4) nonsmoker
(5) nondiabetic
Non-optimal risk factors:
(1) serum total cholesterol 180 to 199 mg/dL
(2) systolic blood pressure 120 to 139 mm Hg
(3) diastolic blood pressure 80 to 89 mm Hg
Elevated risk factors:
(1) serum total cholesterol 200 to 239 mg/dL
(2) systolic blood pressure 140 to 159 mm Hg
(3) diastolic blood pressure 90 to 99 mm Hg
Major risk factors:
(1) serum total cholesterol >= 240 mg/dL
(2) systolic blood pressure >= 160 mm Hg
(3) diastolic blood pressure >= 100 mm Hg
(4) smoker
(5) diabetic
|
Male
|
CVD by 75 Years of Age
|
CVD by 95 Years of Age
|
|
5 optimal risk factors
|
5.2%
|
5.2%
|
|
<= 4 optimal risk factors
|
17.6%
|
36.4%
|
|
>= 1 elevated risk factor
|
26%
|
45.5%
|
|
1 major risk factor
|
37.6%
|
50.5%
|
|
>= 2 major risk factors
|
53.2%
|
68.9%
|
|
Female
|
CVD by 75 Years of Age
|
CVD by 95 Years of Age
|
|
5 optimal risk factors
|
8.2%
|
8.2%
|
|
<= 4 optimal risk factors
|
6.9%
|
26.9%
|
|
>= 1 elevated risk factor
|
14.6%
|
39.1%
|
|
1 major risk factor
|
18%
|
38.8%
|
|
>= 2 major risk factors
|
37.7%
|
50.2%
|
