Nishimoto Clinic

CARDIOVASCULAR RISK

10-Year Risk Assessment Using the Hisayama Score

We use age, blood pressure, cholesterol, smoking and glucose status to discuss the estimated 10-year risk of coronary disease and atherothrombotic stroke.

Clinic-developed decision support based on the Japan Atherosclerosis Society guideline; not an official society application
01

Information used

  • Age 40–79 years
  • Sex
  • Systolic blood pressure
  • Glucose abnormality
  • LDL and HDL cholesterol
  • Smoking status
02

What the report shows

  • Points and age-specific 10-year absolute risk
  • Low, intermediate or high management category
  • Targets for LDL-C, non-HDL-C, triglycerides and HDL-C
  • A patient-friendly management and follow-up plan
03

Important limitation

The score is mainly intended for an initial assessment before treatment. Recalculating with treated blood pressure or LDL-C may make risk look lower; the original management category should not be reduced automatically.

04

Risk conditions outside the score

Previous coronary disease or atherothrombotic stroke requires secondary prevention. Diabetes, chronic kidney disease or peripheral arterial disease is treated as high risk. The score never replaces individual medical judgment.

CONTACT

Questions or appointments

English consultations are available. Please call us if you need help choosing the appropriate service.

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