Scenario 7
Scenario Overview
This scenario is designed to test the calculator's capability to provide the appropriate risk stratification based on the patient's medical condition(s).
Based on the scenario, the patient should be stratified as a patient with very high cardiovascular risk, as patient has chronic kidney disease (CKD) and diabetes mellitus (DM).
This scenario showcases the calculator's capability to perform sanity checks based on the information provided. The calculator will classified patient as very high risk despite indicating that patient has DM without risk factors, but yet indicating that the patient has CKD (which is a risk factor).
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Click here to access the relevant ACE Clinical Guidances (ACGs).
Inputs to calculator
|
No. |
Question |
Parameter |
|---|---|---|
|
1 |
Gender |
Male |
|
2 |
AGE (years) |
65-69 |
|
3 |
ETHNICITY |
Others |
|
4 |
SMOKER? |
No |
|
5 |
Patient’s HDL range - mmol/L (mg/dl) |
1.0-1.2 (40-49) |
|
6 |
Patient’s TC range - mmol/L (mg/dl) |
6.2-7.2 (240-279) |
|
7 |
Patient’s SYSTOLIC BP range - mmHg |
140-159 |
|
8 |
Patient on ANTIHYPERTENSIVES? |
No |
|
9 |
Patient history of ACS? |
No |
|
10 |
Patient history of ASCVD? |
No |
|
11 |
Patient have FH? |
No |
|
12 |
Patient have CKD? |
Yes |
|
13 |
Patient have DM? |
Yes, but without the specific risk factors mentioned above |
Expected Results
Based on the scenario, the patient should be stratified as a patient with very high cardiovascular risk, as patient has chronic kidney disease (CKD) and diabetes mellitus (DM).
This scenario showcases the calculator's capability to perform sanity checks based on the information provided. The calculator will classify patient as very high risk despite indicating that patient has DM without risk factors, but yet indicating that the patient has CKD (which is a risk factor).
The following results will be provided by the calculator.
|
Segment |
Key Results |
|---|---|
|
Estimated 10-Year Coronary Artery Disease Risk: |
Very High/ High risk (Primary Prevention) |
|
Target LDL cholesterol: |
Consider LDL-C <1.8 mmol/L (<70mg/dL) |
|
Target Blood Pressure: |
<130/80 mmHg |
|
Target HbA1c: |
For most patients, a target HbA1c of ≤7.0% provides a reasonable balance between a reduction in risk of microvascular complications and risk of hypoglycaemia. Examples of when a more stringent HbA1c target (e.g., ≤6.5%) may be appropriate: Younger patients, patients with short duration of disease, long life expectancy or early-stage microvascular complications (particularly retinopathy and nephropathy). Examples of when a less stringent HbA1c target (e.g., ≤8.0%) may be appropriate: Older patients, especially if frail, patients with long duration of disease, short life expectancy, advanced microvascular or macrovascular complications. |
Try it out!
Please feel free to try out the above scenario in the calculator below.
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