Table 1

Summary of definitions, data and data sources used relating to diagnosis and management of the six CVD high risk conditions

CVD high risk conditionsDiagnosisManagement
ConditionDefinition in analysisTotal estimated prevalence*Current diagnosed prevalence*Proportion currently diagnosed†CVD risk management interventions‡
High cholesterol/ QRISK≥10%10 year QRISK2 score ≥10% or familial hypercholesterolaemia34%19 No data found11%§9 Lipid modification therapy; antihypertensives; anticoagulants; weight management; smoking cessation; blood pressure self-monitoring; medicines use review
HypertensionBP ≥140/90 or 140/80 with diabetes or 130/80 with diabetes and chronic kidney disease or microvascular disease28%34 17%36 60%Antihypertensives; weight management; smoking cessation; blood pressure self-monitoring; medicines use review
Atrial fibrillationAtrial fibrillation3%35 2.3%36 76%Anticoagulants; weight management; smoking cessation; medicines use review
DiabetesType 1 diabetes0.6%19 0.6%100%¶Lipid modification therapy; antihypertensives; blood glucose lowering medication; structured diabetes education; weight management; smoking cessation; insulin pump; blood pressure self monitoring; medicines use review
Type 2 diabetes7.8%32 6.0%36 78%
Combined 8.4% 6.6% 78%
Non-diabetic hyperglycaemiaHbA1c 6%–6.5% (42–48 mmol/mol)11%19 1.2%32 11%Diabetes prevention programme; weight management; smoking cessation
Chronic kidney diseaseChronic kidney disease stage 3a and above6%33 4%36 65%Antihypertensives; weight management; individualised nutritional advice; smoking cessation; blood pressure self monitoring; medicines use review

  • *Prevalence in England for individuals aged 16 and over.

  • †Calculated as diagnosed prevalence/total estimated prevalence.

  • ‡Note that some of these have additional eligibility criteria, for example, only smokers eligible for smoking cessation; only overweight/obese eligible for weight management; blood pressure criteria for antihypertensives etc.

  • §Of patients with a recorded QRISK score. Assumes that recording of QRISK score is independent of value.

  • ¶Assumed that all individuals with type 1 diabetes are diagnosed.

  • CVD, cardiovascular disease.