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This site calculates a person’s risk of developing a heart attack or stroke over the next 10 years, producing the score described in this academic paper:

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Hypertension in adults: diagnosis and treatment

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Hypertension in adults: diagnosis and treatment

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Guideline

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Results for Framingham Risk Score (2008) by QxMD

Estimated 10-year Global CVD Risk: >30%*

Risk Category: High Risk*

Estimated Vascular Age: >80 Years

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As per the JNC guidelines the CTN suffers from hypotension, the CTNs Qrisk score is 55.6% with an estimated vascular age of 80 years. The CTN is classed in the high risk category with an estimated 10-years global CVD risk of >30%.

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1. CTN has hypertension as their BP is above 140/90 mmHg which is the blood pressure goal for an individual aged 6o or above with diabetes

CV Risk- High Risk >30%

Q Risk - 39.3% of stroke or heart attack within the next 10 years

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CTN should initially receive and ACEi or ARB2.3 as she is an individual with Stage 1 ABPM and Type 2 diabetes

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Beta-blockers are effective for reducing blood pressure but other antihypertensives are usually more effective for reducing the incidence of stroke, myocardial infarction, and cardiovascular mortality, especially in the elderly. CTN has risk of stroke or heart attack in next 10 years so another hypertension medication would be preferable.

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lifestyle advice should also be offered

stage 2 would involve starting on calcium channel blockers or a thiazide-like diuretic

if hypertension persists, both should be prescribed

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ATP-III (2004)Treatment Targets

LDL <100 mg/dL (<2.59 mmol/L)
Non-HDL <130 mg/dL (<3.37 mmol/L)

CCS (2009)Treatment Targets

LDL <2 mmol/L (<77 mg/dL) or ≥50 % decrease in LDL-C
apoB <0.8 g/L (80 mg/dL)

ESC (2007, see Info for more)Treatment Targets

LDL <2-2.5 mmol/L (<80-100 mg/dL)
TChol <4-4.5 mmol/L (<155-175 mg/dL)

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Framington Risk Score -

Estimated 10-year Global CVD Risk

>30%*

Risk Category

High Risk*

Estimated Vascular Age

>80 Years*

QRisk -

Risk of having a heart attack or stroke within the next 10 years is:

39.3%

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Take the medication as prescribed. Do not double up. If you forget to take it and you are almost due your next dose, do not take it. Beta-blockers lower the heart rate, so advise the patient that they may feel dizzy if the initial dose is not the right fit. The patient may also read the SPC, however if they have any questions, they may ask.