From: Should heart age calculators be used alongside absolute cardiovascular disease risk assessment?
Patient profile | Risk factors | NZ: HF website | UK: NHS website |
---|---|---|---|
Case 1 with elevated cholesterol but ‘ideal’ blood pressure would receive an older heart age estimate on both calculators, with two medications suggested for the lower result | Age: 57 Sex: female Systolic BP: 120 Chol ratio: 5.6 BMI: 24 Smoking: no Diabetes: no | Older heart age (64) 5 yr. absolute risk = 4% Mild risk below medication threshold | Older heart age (60) 10 yr. absolute risk = 5% May need chol & blood pressure medication |
Case 2 with elevated blood pressure but lower than ‘ideal’ cholesterol would receive an older heart age on NZHF or the same heart age as current age on NHS, with one medication suggested for the lower result | Age: 62 Sex: male Systolic BP: 130 Chol ratio: 3.5 BMI: 25 Smoking: no Diabetes: no | Older heart age (63) 5 yr. absolute risk = 7% Mild risk below medication threshold | Same heart age (62) 10 yr. absolute risk = 9% May need blood pressure medication |
Case 3 with obesity but ‘ideal’ blood pressure and cholesterol would receive a younger heart age on NZHF or an older heart age on NHS, with one medication suggested for the higher result | Age: 48 Sex: female Systolic BP: 120 Chol ratio: 4 BMI: 38 Smoking: no Diabetes: no | Young heart age (< 48) 5 yr. absolute risk = 1% Mild risk below medication threshold | Older heart age (49) 10 yr. absolute risk = 2% May need blood pressure medication |