QRISK

Question 1

What does QRISK measure?

Answer 1

Risk of having a heart attack or stroke over the next 10 years
OR
Risk of developing CVD in the next 10 years

Question 2

What personal information is included in QRISK?

Answer 2

Age
Sex
Ethnicity
BMI
Postcode

Question 3

What PMH is included in QRISK? (C.A.R.D)

Answer 3

Chronic kidney disease (stage 4 or 5)
Atrial fibrillation
Rheumatoid arthritis
Diabetic status

Question 4

What Dhx, FHx and SHx factors are included in QRISK?

Answer 4

Existing HTN tx
Angina or heart attack in a 1st degree relative <60
Smoking status

Question 5

What direct measurements are included in QRISK?

Answer 5

Cholesterol/HDL ratio
Systolic blood pressure (mmHg)

Question 6

What are they overall scores and what do they mean?

Answer 6

<10% LOW RISK
10-20% MODERATE
> 20% HIGH

Question 7

What is the management if the risk is <10%?

Answer 7

Advise that risk is low but further reductions in risk can often still be achieved.

Offer advice on relevant lifestyle factors that can be improved
- Stop smoking.
- Exercise.
- Diet change/weight
loss.
- Disease
control/medication
adherence.

Question 8

What is the management if the risk is >10%?

Answer 8

Offer advice on any relevant lifestyle factors to reduce risk.

Consider reviewing any relevant comorbidities that may not be optimally controlled.

Discuss the benefits and risks of taking a lipid modification therapy.