[SCORE2 - an updated model for cardiovascular risk prediction].

Area of Science:

• Cardiology
• Public Health
• Epidemiology

Background:

• Cardiovascular disease (CVD) is the leading cause of death and lost life-years in Sweden.
• Accurate CVD risk prediction is crucial for effective primary prevention strategies.
• The Systematic COronary Risk Evaluation (SCORE) model has been the standard in Sweden for nearly 20 years.

Purpose of the Study:

• To introduce and report the SCORE2 risk prediction model for the Swedish population.
• To provide updated cardiovascular risk charts tailored for Sweden, classified as a moderate-risk country.
• To address limitations of the previous SCORE model by incorporating contemporary data and competing risks.

Main Methods:

• Utilized contemporary data to develop the SCORE2 model.
• Included prediction of incident cardiovascular disease alongside cardiovascular mortality.
• Accounted for competing risks in the risk assessment framework.
• Translated the SCORE2 risk charts for moderate-risk countries into Swedish.

Main Results:

• Sweden is classified as a moderate-risk country under the SCORE2 model.
• The SCORE2 model offers a more comprehensive risk assessment than the previous SCORE model.
• The study reports the specific risk charts for moderate-risk countries adapted for Swedish use.

Conclusions:

• The SCORE2 model represents a significant advancement in cardiovascular risk prediction for Sweden.
• Updated risk stratification using SCORE2 can enhance the precision of primary prevention interventions.
• The availability of Swedish-translated SCORE2 charts facilitates clinical application in primary care settings.