QRISK

Question 1

What is QRISK assessing?

Answer 1

Calculates percentage risk of MI or stroke in next 10 years

It is for the primary prevention of CVD in people up to and including 84yrs

Question 2

What personal details do you need to ask in QRISK?

Answer 2

Age, sex, ethnicity and postcode

Question 3

What clinical information do you need in QRISK?

Answer 3

PMH:
Diabetes status
Atrial Fibrillation 
Rheumatoid Arthritis 
Systemic Lupus Erythematosus (SLE)
CKD Stage 3-5
Severe mental illness
Erectile Dysfunction

DHx:
Antihypertensives?
Corticosteroids?
Atypical Antipsychotics

FHx:
1st Degree Family history of Angina/MI

SH:
Smoking status

BMI
Systolic BP (2x last readings)
Cholesterol/HDL level

Question 4

How should you communicate the QRISK Score? e.g. they have 20% risk:

Answer 4

This means you have a 20 in 100 chance (2/10) of developing cardiovascular disease in the next 10 years. (angina, MI, TIA, Stroke or PVD)
2/10 people with the same risk factors will develop a CVD in the next 10 years.
The score cannot predict what will happen to each individual person!

Question 5

How should a person with CVD risk of less than 10% be managed?

Answer 5

Although the risk is low, offer advice on relevant lifestyle factors and relevant comorbidities that may not be optimally treated.

Advise that a further risk assessment is needed in 5 years.

Question 6

How should a person with a risk of more than 10% be managed?

Answer 6

Put them on a statin as primary prevention (atorvastatin 20 mg daily)
Discuss lifestyle modification
Discuss management of risk factors