Scenario 4

Scenario Overview

This scenario is designed to test the calculator's capability to compute the parameters provided using the updated Singapore-modified Framingham Risk Score.

Based on the scenario, the patient should be stratified as a patient with high cardiovascular risk.

Our calculator is embedded towards the end of the page to facilitate your testing.

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Click here to access the relevant ACE Clinical Guidances (ACGs).

Inputs to calculator

No.	Question	Parameter
1	Gender	Female
2	AGE (years)	75-79
3	ETHNICITY	Others
4	SMOKER?	Yes
5	Patient’s HDL range - mmol/L (mg/dl)	< 1.0 (40)
6	Patient’s TC range - mmol/L (mg/dl)	≥ 7.3 (280)
7	Patient’s SYSTOLIC BP range - mmHg	≥ 160
8	Patient on ANTIHYPERTENSIVES?	Yes
9	Patient history of ACS?	No
10	Patient history of ASCVD?	No
11	Patient have FH?	No
12	Patient have CKD?	No
13	Patient have DM?	No

Expected Results

Based on the above scenario, the patient will arrive at a risk score of 22%, based on the updated Singapore-modified Framingham Risk Score and the following results will be generated by the calculator.

Segment	Key Results
Estimated 10-Year Coronary Artery Disease Risk:	High risk (>20%)
Target LDL cholesterol:	Consider LDL-C < 1.8 mmol/L (< 70mg/dL) While older age (>75 years) is not a contraindication for statin use, factors to be considered include potential benefits, risk of side effects (noting that renal or hepatic impairment and potential for drug interactions may be more likely), patient preference, and functional status.
Target Blood Pressure:	<130/80 mmHg
Target HbA1c:	No target HbA1c recommendation, as patient does not have diabetes mellitus.

Try it out!

Please feel free to try out the above scenario in the calculator below.

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