New tool for predicting stroke risk

PERTH specialists have developed a new risk score for predicting stroke and myocardial infarction in community-based older men, after finding traditional risk factors predict suboptimally.

More attention should be paid to diastolic hypotension and central obesity, alongside traditional risk factors such as age and smoking, the researchers said.

The new tool – the Health in Men Study cardiovascular risk model (HIMS-CVR) – performed well compared with the Framingham risk equation, they said. 

In a prospective cohort study, they followed 4382 community dwelling males, average age 75, with no baseline history of stroke/MI, for an average six years.

The 686 men who had cardiovascular events were older, had lower diastolic blood pressure and greater central obesity than those who remained event-free, they found.

Except for age and smoking, traditional risk factors (diabetes, cholesterol and blood pressure)