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Heart Health

Cardiovascular Risk in Five Minutes

Cardiovascular Risk: the whole thing in five minutes, for when you want the numbers and nothing else.

Dr Priya Raghunathan, DClinPsy Clinical psychologist 3 min read 1 views
Cardiovascular Risk in Five Minutes

An estimate of your chance of a heart attack or stroke over the next ten years.

Key takeaways

  • Risk tool used in the UK: QRISK
  • Inputs: age, sex, blood pressure, smoking, diabetes, ethnicity, family history, cholesterol
  • Most useful single change: Ask what your ten-year risk score is, not just your readings.
  • Commonest mistake: Focusing on one number in isolation.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The numbers, in one place

Published figures for Cardiovascular Risk
MeasureFigure
Risk tool used in the UKQRISK
Inputsage, sex, blood pressure, smoking, diabetes, ethnicity, family history, cholesterol
NICE threshold to offer a statin10 per cent ten-year risk
NHS Health Check, Englandages 40-74, every 5 years
Largest single modifiable factor for most peoplesmoking

In one paragraph

Treatment decisions in the UK are made on overall risk rather than on any single number, which is why identical cholesterol can produce different advice.

Worth doing

  • Ask what your ten-year risk score is, not just your readings
  • Accept the NHS Health Check invitation when it arrives
  • Tackle smoking first if you smoke; nothing else comes close
  • Treat blood pressure, cholesterol and activity as one package

Worth avoiding

  • Focusing on one number in isolation
  • Assuming a normal weight means low risk
  • Delaying a check because you feel well; risk is silent

Where to go next

When to speak to a doctor

Call 999 for chest pain or tightness lasting more than a few minutes, sudden weakness or numbness on one side, facial drooping, or difficulty speaking. Use the FAST test for stroke: Face, Arms, Speech, Time to call 999. Never drive yourself to hospital.

Where this comes from

  • NICE — Cardiovascular disease: risk assessment and reduction
  • NHS — NHS Health Check

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Priya Raghunathan

Clinical psychologist writing on sleep, stress and mood. Insists that every technique we publish has been tried by someone with a job, a commute and no spare hour in the morning.

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