Guideline-driven assessment of cardiovascular disease and related risks after spinal cord injury

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Screening for cardiovascular disease (CVD) risks is an essential process in pursuing effective primary and secondary prevention. Risks can be determined from patient history and fasting lipid levels. Use of a multifactorial regression algorithm such as the Framingham model improves risk prediction but may contain quirks when used for risk estimation of persons with spinal cord injury (SCI). The gold standard for risk assessment and defining need for primary or secondary disease prevention is the National Cholesterol Education Program Adult Treatment Guidelines. Use of these tools by health practitioners will ensure best practice care of persons with SCI who require CVD disease intervention.

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