Man clutching his heart

A new risk calculator will better predict people at high risk of heart and circulatory diseases years before they strike, and is ready for use across the UK and Europe, according to research published in the journal European Heart Journal.

This risk tool... will fit seamlessly into current prevention programmes with substantial real-world impact by improving the prevention of cardiovascular diseases across Europe before they strike

Emanuele Di Angelantonio

探花直播risk calculator, SCORE2, will be adopted by the upcoming European Guidelines on Cardiovascular Disease Prevention in Clinical Practice, and enables doctors across Europe to predict who鈥檚 at risk of having a heart attack or stroke in the next 10 years with greater accuracy.

探花直播researchers say this new prediction tool will help save many more people across Europe from having a potentially deadly heart attack or stroke, ultimately saving lives. People who are flagged as having an increased risk can be put on personalised preventative treatment, such a statins, or will receive lifestyle advice to lower their risk.

Researchers from the 探花直播 of Cambridge played a leading role in a major collaborative effort involving around 200 investigators听to develop SCORE2. Researchers across Europe analysed data from nearly 700,000 participants - mostly middle-aged - from 45 different studies. 探花直播tool has also been tailored for use in different European countries.

Participants had no prior history of heart and circulatory disease when they were recruited to the studies, and in the 10 years they were followed up, 30,000 had a 鈥榗ardiovascular event鈥 鈥 including fatal or non-fatal heart attack or stroke.

探花直播risk tool was then statistically 鈥榬ecalibrated鈥, by using regional-specific cardiovascular and risk factor data from 10.8 million people, to more accurately estimate cardiovascular risk for populations split into four European risk regions. 探花直播tool uses known risk factors for heart and circulatory diseases such as age, sex, cholesterol levels, blood pressure and smoking.

This is a much-needed upgrade from the previous prediction tool that was developed using data before 1986 and underestimated the cardiovascular risk in some countries. 探花直播new SCORE2 risk calculator now accounts for current trends in heart and circulatory diseases, can predict both fatal and non-fatal conditions and is adaptable to countries with different levels of risk.

探花直播researchers say that this upgrade will better estimate the cardiovascular risk amongst younger people, and will improve how treatment is tailored for older people and those in high-risk regions across Europe.

Professor Emanuele Di Angelantonio at the 探花直播 of Cambridge British Heart Foundation (BHF) Centre of Research Excellence, said: 鈥淭his risk tool is much more powerful and superior than what doctors have used for decades. It will fit seamlessly into current prevention programmes with substantial real-world impact by improving the prevention of cardiovascular diseases across Europe before they strike.鈥

Dr Lisa Pennells, also at Cambridge鈥檚 BHF Centre of Research Excellence, said: 鈥淭his project was a highly collaborative effort that has brought together key experts and extensive data sources to develop improved risk prediction tools for cardiovascular disease for use across the UK and Europe.

鈥淎 key feature is that our calculators are relevant to current day rates of cardiovascular disease in different regions of Europe. Importantly, our methods allow them to be easily updated using routinely collected data in the future to ensure they stay relevant as trends in heart and circulatory diseases change.鈥

This study was carried out by the SCORE2 Working Group and the European Society of Cardiology Cardiovascular Risk Collaboration. It was supported by organisations including the British Heart Foundation, the Medical Research Council, National Institute for Health Research Cambridge Biomedical Research Centre and Health Data Research UK.

Professor Sir Nilesh Samani, Medical Director at the BHF and cardiologist, said: 鈥淗eart and circulatory diseases are the world鈥檚 biggest killers, impacting the lives of 7.6 million people across the UK alone.

鈥淭his new risk tool is a major advance and will save many more people from developing heart attacks, stroke and heart disease, all of which develop silently over many years and strike without warning. It will be the new gold standard for doctors to determine which patients are at the highest risk of these conditions, and enable tailored treatment and lifestyle advice to be given much earlier.鈥

Reference
European Heart Journal; 14 June 2021; DOI: 10.1093/eurheartj/ehab309

Adapted from a press release from the British Heart Foundation



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