Using nontraditional risk factors in coronary heart disease risk assessment.

摘要

A 47-year-old man with no history of coronary heart disease (CHD), diabetes mellitus, or any CHD risk equivalent asks about smoking cessation therapies. His past laboratory results include a total cholesterol level of 230 mg per dL (5.96 mmol per L) and a high-density lipo-protein level of 35 mg per dL (0.91 mmol per L). He has never been treated for hypertension, and his average blood pressure is 130/80 mm Hg. His CHD risk score, as calculated by the National Cholesterol Education Program, Adult Treatment Panel III Framingham risk calculator, is 18 percent, placing him at intermediate risk of a CHD event in the next 10 years.