Stroke Prevention (cont.)
Do You Know Your Stroke Risk?
Some of the most important risk factors for stroke can be determined during a
physical exam at your doctor's office. If you are over 55 years old, the
worksheet below can help you estimate your risk of stroke and show the benefit
of risk-factor control.
The worksheet was developed from NINDS-supported work in the well-known
Framingham Study. Working with your doctor, you can develop a strategy to lower
your risk to average or even below average for your age.
Score your stroke risk for the next 10 years-MEN
Key:
- SBP = systolic blood pressure (score one line only, untreated or
treated);
- Diabetes = history of diabetes;
- Cigarettes = smokes cigarettes;
- CVD
(cardiovascular disease) = history of heart disease;
- AF = history of atrial fibrillation;
- LVH = diagnosis of left ventricular hypertrophy
| Score your stroke risk for the next 10 years-MEN
|
| Points |
0 |
+1 |
+2 |
+3 |
+4 |
+5 |
+6 |
+7 |
+8 |
+9 |
+10 |
| Age |
55-56 |
57-59 |
60-62 |
63-65 |
66-68 |
69-72 |
73-75 |
76-78 |
79-81 |
83-84 |
85 |
| SBD-untrd |
97-105 |
106-115 |
116-125 |
126-135 |
136-145 |
146-155 |
156-165 |
166-175 |
176-185 |
186-195 |
196-205 |
| or SBP-trtd |
97-105 |
106-115 |
113-117 |
118-123 |
124-129 |
130-135 |
136-142 |
143-150 |
151-161 |
162-176 |
177-205 |
| Diabetes |
No |
|
Yes |
|
|
|
|
|
|
|
|
| Cigarettes |
No |
|
|
Yes |
|
|
|
|
|
|
|
| CVD |
No |
|
|
|
Yes |
|
|
|
|
|
|
| AF |
No |
|
|
|
Yes |
|
|
|
|
|
|
| LV |
No |
|
|
|
|
Yes |
|
|
|
|
|
|
Add Up Points from Table Above to Access
Your Risk/Probability of Stroke |
| Your Points |
10-Year Probability |
| 1 |
3% |
| 2 |
3% |
| 3 |
4% |
| 4 |
4% |
| 5 |
5% |
| 6 |
5% |
| 7 |
6% |
| 8 |
7% |
| 9 |
8% |
| 10 |
10% |
| 11 |
11% |
| 12 |
13% |
| 13 |
15% |
| 14 |
17% |
| 15 |
20% |
| 16 |
22% |
| 17 |
26% |
| 18 |
29% |
| 19 |
33% |
| 20 |
37% |
| 21 |
42% |
| 22 |
47% |
| 23 |
52% |
| 24 |
57% |
| 25 |
63% |
| 26 |
68% |
| 27 |
74% |
| 28 |
79% |
| 29 |
84% |
| 30 |
88% |
| Compare with Your Age
Group |
Average 10-Year
Probability of Stroke |
| 55-59 |
5.9% |
| 60-64 |
7.8% |
| 65-69 |
11.0% |
| 70-74 |
13.7% |
| 75-79 |
18.0% |
| 80-84 |
22.3% |
Score your stroke risk for the next 10 years-WOMEN
Key:
- SBP = systolic blood pressure (score one line only, untreated or
treated);
- Diabetes = history of diabetes;
- Cigarettes = smokes cigarettes;
- CVD
(cardiovascular disease) = history of heart disease;
- AF = history of atrial fibrillation;
- LVH = diagnosis of left ventricular hypertrophy
| Score your stroke risk for the next 10 years-WOMEN |
| Points |
0 |
+1 |
+2 |
+3 |
+4 |
+5 |
+6 |
+7 |
+8 |
+9 |
+10 |
| Age |
55-56 |
57-59 |
60-62 |
63-64 |
65-67 |
68-70 |
71-73 |
74-76 |
77-78 |
79-81 |
82-84 |
| SBD-untrd |
|
95-106 |
107-118 |
119-130 |
131-143 |
144-155 |
156-167 |
168-180 |
181-192 |
193-204 |
205-516 |
| or SBP-trtd |
|
95-106 |
107-113 |
114-119 |
120-125 |
126-131 |
132-139 |
140-148 |
149-160 |
161-204 |
205-216 |
| Diabetes |
No |
|
|
Yes |
|
|
|
|
|
|
|
| Cigarettes |
No |
|
|
Yes |
|
|
|
|
|
|
|
| CVD |
No |
|
Yes |
|
|
|
|
|
|
|
|
| AF |
No |
|
|
|
|
|
Yes |
|
|
|
|
| LV |
No |
|
|
|
Yes |
|
|
|
|
|
|
|
Add Up Points from Table Above to Access
Your Risk/Probability of Stroke |
| Your Points |
10-Year Probability |
| 1 |
1% |
| 2 |
1% |
| 3 |
2% |
| 4 |
2% |
| 5 |
2% |
| 6 |
3% |
| 7 |
4% |
| 8 |
4% |
| 9 |
5% |
| 10 |
6% |
| 11 |
8% |
| 12 |
9% |
| 13 |
11% |
| 14 |
13% |
| 15 |
16% |
| 16 |
19% |
| 17 |
23% |
| 18 |
27% |
| 19 |
32% |
| 20 |
37% |
| 21 |
43% |
| 22 |
50% |
| 23 |
57% |
| 24 |
64% |
| 25 |
71% |
| 26 |
78% |
| 27 |
84% |
| Compare with Your Age
Group |
Average 10-Year
Probability of Stroke |
| 55-59 |
3.0% |
| 60-64 |
4.7% |
| 65-69 |
7.2% |
| 70-74 |
10.9% |
| 75-79 |
15.5% |
| 80-84 |
23.9% |
Source: D'Agostino, R.B.; Wolf, P.A.; Belanger, A.J.; & Kannel, W.B. "Stroke
Risk Profile: The Framingham Study." Stroke, Vol. 25, No. 1, pp. 40-43, January
1994.
Many risk factors for stroke can be managed, some very
successfully. Although risk is never zero at any age, by starting early and
controlling your risk factors you can lower your risk of death or disability
from stroke. With good control, the risk of stroke in most age groups can be
kept below that for accidental injury or death.
Americans have shown that stroke is preventable and treatable. In recent
years, a better understanding of the causes of stroke has helped Americans make
lifestyle changes that have cut the stroke death rate nearly in half.
Scientists at the NINDS predict that, with continued attention to reducing
the risks of stroke and by using currently available therapies and developing
new ones, Americans should be able to prevent 80 percent of all strokes.
SOURCE: National Institute of Neurological Disorders and Stroke; "Brain
Basics: Preventing Stroke," April 09, 2009
Last Editorial Review: 6/24/2009
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