Adding a life-course perspective to cardiovascular-risk communication

Kunal N. Karmali, Donald M. Lloyd-Jones*

*Corresponding author for this work

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Current practice in the primary prevention of cardiovascular disease (CVD) involves estimation of the short-term (typically 5-10-year) risk of developing CVD. This risk estimation can serve as the prelude to a conversation between physicians and patients about CVD risk and risk-reducing therapies. However, focusing solely on short-term risk directs these conversations towards individuals who, in all likelihood, have already accrued substantial atherosclerosis during their lifetime. We suggest that estimation of lifetime risk and other novel methods of risk communication, such as risk-adjusted age, should be used as an adjunct to 10-year risk estimation. We believe that these strategies will improve patient understanding of CVD risk, identify new sections of the population who might benefit from preventive therapy, and motivate lifestyle changes and adherence to therapy early in the course of disease progression.

Original languageEnglish (US)
Pages (from-to)111-115
Number of pages5
JournalNature Reviews Cardiology
Volume10
Issue number2
DOIs
StatePublished - Feb 1 2013

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Adding a life-course perspective to cardiovascular-risk communication'. Together they form a unique fingerprint.

  • Cite this