Lothian Hypertension and Lipid clinics


How to assess a patient's cardiovascular risk

This is normally done using a risk scoring system (see here), such as QRISK3 or ASSIGN. These incorporate a person’s blood pressure, lipid profile and smoking status as well as age, sex, and other risk factors for developing cardiovascular disease to predict their risk of suffering from a myocardial infarction or stroke in the next 10 years. 


Suggested interpretation: 

10-year cardiovascular risk

Recommended action


Lifestyle modification (if appropriate)

Drug therapy usually not recommended


Lifestyle modification

Consider/discuss drug therapy


Lifestyle modification

Offer drug therapy (if appropriate)


Do not use these risk calculators in people with: 

  • Familial hypercholesterolaemia or other inherited dyslipidaemia
  • Patients with established cardiovascular disease

All these groups should be on lipid-lowering therapy +/- antihypertensive therapy as appropriate.