QRISK2-2014

[Offcut]

This is only relevant if you have NOT been diagnosed with a cardiovascular disease.

qrisk.org/index.php

[jennydog]

I was doing well until they asked for the totally unintelligible weight and height in metric.

[Offcut in reply to jennydog]

12" is about 30 cm 1kg is 2.2 pounds

[Mrspat]

A pretty meaningless questionnaire as it does not differentiate between people being treated for AF and those not being treated, types of treatment, how long someone has been suffering from it and the type of AF.

[Offcut in reply to Mrspat]

it works in the same way a chads score it bases it on before treatment/risk If I did not have treatment, based on the info I input I would have a 28.8% chance of a heart attack or stroke in the next 10 years.

[Rellim296]

Thanks for this - interesting, but it seems to think my heart is 11 years older than it is.

[Finvola]

Interesting link Offcut - my risk is doubled by the fact of having AF and I too wonder how accurate that is?? Does the questionnaire just fail to consider treatments etc as Mrspat has mentioned or does the fact of having AF increase our risks of stroke/heart attack?

[Offcut in reply to Finvola]

In addition to significant changes to cardiac output as a result of arrhythmias, patients with arrhythmias are also at risk from blood clots, and may require anticoagulation therapy. The presence of clots increase significantly the risk of strokes. If the problem associated with the heart is due to the pacemaker or the sinoatrial node on the right atrium of the heart, it's possible that pacemaker therapy can be used to treat this condition.

[dedeottie]

Interesting and salutary. Makes me very glad to be on anticoagulation. X

[Hidden]

I've got a chance of having an HA or stroke of 21% in the next 10 years. So I altered my weight down by 20kgs and the figure hardly changed, so forget the diet, plenty more chocolate for me

_

[Offcut in reply to Hidden]

pass me a bar

[Langara]

My heart attack or stroke risk in the next 10 years is 22.3% apparently ( The score of a typical person with the same age, sex, and ethnicity* 12.3% ), and my heart is age 76! Yes, if you say so QRISK ! I will pop back here in 10 years to let you know if you were right or wrong!

[Offcut in reply to Langara]

this is if you are not being treated

[Offcut]

. In the year 2000, Henry McGill and colleagues published a paper in a journal called Arteriosclerosis Thrombosis and Vascular Biology.

This was a fascinating, if slightly macabre paper, in which they looked at 2,876 autopsies from young people. So people aged between 15 and 34 who died in accidents from murder or from suicide. But were otherwise healthy at their time of death.

What they found was that even in the very youngest subjects, there was already the development of fatty streaks. So in subjects who were 15 to 19 years old, they already had fatty streaks.

The progression of these fatty streaks into raised lesions increased with age. And they were appreciable levels of raised lesions in the 20 to 24-year-old groups.

Heart Health: A beginner’s guide to cardiovascular disease

©University of Reading 2014 Thursday, 28 August 2014 Page 2

What's more, the progression was different in men and women and depended on where the lesions were occurring.

So clearly, gender does appear to have an influence on the progression of cardiovascular disease even at a young age.

[CDreamer]

Interesting, my risk came out at 12.8% with the average 8.6% which is higher than the CHADS. It is still only looking at the mean averages and whilst probably a good general guide, there is nothing that can predict what will happen to whom or when.

[Hidden]

Oh lordy, an increased risk of 9.3% panic panic... My heart is 63 apparently, which is a shame because the rest of me is 57 :@

[Offcut]

Fact!

British Heart Foundation figures of 180,000 people dying of cardiovascular disease in 2010, of those 180,000 people, 133,000 of them, so 74%, died of cardiovascular disease over the age of 75. So age is the single biggest risk factor for cardiovascular disease, and you can do nothing about it. Sorry