Cardiovascular Risk Assessment
Many risk factors for heart attack and stroke can be modified so a checkup is worthwhile.
When should I screen?
The following table outlines the ages that patients should consider seeing us to assess their cardiovascular risk. Patients with the risk factors listed below should assess their personal risk at an earlier age than those who have no risk factors.
Risk factors for premature cardiovascular disease include but are not limited to:
some medical conditions.
a history of significant mental illness.
a family history of premature heart disease or stroke.
Please make sure we are aware of your family history and have an accurate record of your ethnicity. As a rule of thumb screening for disease in those at higher risk, should start 10 years prior to the age that your relatives’ problems were diagnosed or your age group recommendations if this is uncertain. Recommended assessment ages for low and high-risk groups are outlined in the table below. Please make an appointment to see us if you have any concerns.
Assessment Ages for Population Subgroups
|Population Subgroup||Age to start screening
|Age to start screening
|Individuals without known risk factors||45 years||55 years|
|Maori, Pacific peoples or South-Asian* peoples
*India, including Fijian
Indian, Sri Lankan, Afghani, Bangladeshi, Nepalese, Pakistani, Tibetan.
|People with other known cardiovascular risk factors or at high risk of developing
Family history risk factors:
-Diabetes in first-degree relative parent, brother or sister.
-Hospitalisation for or death from heart attack or stroke in a first-degree
relative before the age of 50 years (father or brother, mother or sister).
Personal history risk factors:
-Smokers or ex-smokers.
-HbA1c 41-49 mmol/mol.
-BMI more than 30 or truncal obesity (waist circumference more than 102 cm
in men or > 88 cm in women)
-Heart rhythm problems.
|People with diabetes (type 1 or 2)||From the time of diagnosis.
|From the time of diagnosis.
|People with severe mental illness e.g.:
schizophrenia, major depressive disorder, bipolar disorder, schizoaffective disorder
|25 years - annual review||25 years - annual review|