Opinion | Published:

Adding a life-course perspective to cardiovascular-risk communication

Nature Reviews Cardiology volume 10, pages 111115 (2013) | Download Citation


Current practice in the primary prevention of cardiovascular disease (CVD) involves estimation of the short-term (typically 5–10-year) risk of developing CVD. This risk estimation can serve as the prelude to a conversation between physicians and patients about CVD risk and risk-reducing therapies. However, focusing solely on short-term risk directs these conversations towards individuals who, in all likelihood, have already accrued substantial atherosclerosis during their lifetime. We suggest that estimation of lifetime risk and other novel methods of risk communication, such as risk-adjusted age, should be used as an adjunct to 10-year risk estimation. We believe that these strategies will improve patient understanding of CVD risk, identify new sections of the population who might benefit from preventive therapy, and motivate lifestyle changes and adherence to therapy early in the course of disease progression.

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  1. Department of Medicine–Cardiology, Northwestern University Feinberg School of Medicine, 676 North St Clair Street, Suite 600, Chicago, IL 60611, USA

    • Kunal N. Karmali
  2. Departments of Medicine–Cardiology and Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 North Lake Shore Drive, Suite 1400, Chicago, IL 60611, USA

    • Donald M. Lloyd-Jones


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Both authors researched data for the article, contributed substantially to discussion of its content, and wrote, reviewed, and edited the manuscript before submission.

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The authors declare no competing financial interests.

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Correspondence to Donald M. Lloyd-Jones.

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