Treating-to-risk - An approach to managing absolute CVD risk and hypertension

Abstract

· The use of absolute risk calculations allows us to identify patients at high cardiovascular disease (CVD) risk who will benefit most from antihypertensive treatment. · Identify and treat all risk factors; the combined risk from multiple risk factors is greater than would be expected from simply adding them up, even if each risk factor is relatively minor. · Recent trial evidence shows that intensive blood pressure control is beneficial, especially for groups at high CVD risk. · Absolute risk charts are a useful source of information to help patients understand their CVD risk profile. · Remember nonpharmacological approaches to reducing CVD risk: a structured plan may involve referral to other health professionals, with therapy tailored to the individual patient's needs.