Table 1. Multivariate Risk Metrics and Their Scoring Components
Measures of High Cardiometabolic RiskMeasurement ComponentsDescription
Metabolic syndrome26• Systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥85 mmHgThis is the first eligibility criteria calculated for patients. To meet the definition, patients must have 3 of the 5 risk factors. Although not associated with a specific risk percentage in a 10-year period, metabolic syndrome significantly increases the risk of CVD and diabetes.
• Waist circumference ≥40 inches (men) or ≥35 inches (women); if waist circumference is unavailable, BMI ≥30 kg/m2
• HDL cholesterol <40 mg/dL (men) or <50 mg/dL (women)
• Triglycerides ≥150 mg/dL
• Fasting blood glucose ≥100 mg/dL
Reynolds CHD risk score24,25• AgeThis score uses the most information, including C-reactive protein and family history of heart disease, in addition to risk factors in the Framingham risk score.
• Sex
• Tobacco use
• Systolic blood pressure
• Total cholesterol
• HDL cholesterol
• High-sensitivity C-reactive protein
• Family history of heart disease
Framingham CHD risk score23• AgeThis score is assessed if there is no metabolic syndrome and incomplete information to assess the Reynolds risk score.
• Sex
• Tobacco use
• Systolic blood pressure
• Total cholesterol
• HDL cholesterol
  • BMI, body mass index; CHD, coronary heart disease; CVD, cardiovascular disease; HDL, high-density lipoprotein.