Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.
Singapore Med J. 2011 Feb;52(2):116-23.
Cardiovascular Disease (CVD) is the leading cause of death in both developed and developing countries. While it is relatively easy to identify those who are obviously at high risk and those at the lowest risk for CVD, it is often the large group of individuals with what appears to be modestly abnormal risk factors who contributes most to the burden of CVD. This is where estimation of CVD risk is necessary. Many tools for risk assessment have been devised. All these risk scores have their own inherent advantages and disadvantages. Furthermore, they may also not be directly applicable to a local population. Ideally, each country should have its own risk score that takes into account other factors as well. In the interim, it is worthwhile to be familiar with one of these scores, select one that is most appropriate for your patient and discuss treatment options based on the estimated risk.
心血管疾病（CVD）是发达国家和发展中国家的主要死因。虽然识别那些明显处于高风险和最低风险的人相对容易，但通常是那些看似风险因素适度异常的人群，对 CVD 的负担贡献最大。这就是需要进行 CVD 风险评估的地方。已经设计了许多用于风险评估的工具。所有这些风险评分都有其自身的优点和缺点。此外，它们也可能不适用于当地人群。理想情况下，每个国家都应该有自己的风险评分，同时考虑到其他因素。在此期间，熟悉其中一个评分是值得的，选择一个最适合您的患者的评分，并根据估计的风险讨论治疗方案。
