Are we behind the times on cardiovascular risk assessment in Australia?

Harry Klimis and Clara K Chow
Med J Aust 2020; 213 (4): . || doi: 10.5694/mja2.50711
Published online: 17 August 2020

Our approach to estimating risk in some patients should be updated and the role of coronary artery calcium scoring evaluated

While about one in five Australians aged 45–74 years are at high absolute cardiovascular risk, fewer than half of these people are taking lipid‐ and blood pressure‐lowering medications.1,2 New Medicare Benefits Schedule items for heart health checks (items 699 and 177) were introduced to reduce this gap,3 but the problem remains that recommended risk calculators are inaccurate and misclassification rates are high.4

  • Harry Klimis1,2
  • Clara K Chow1,3

  • 1 Westmead Applied Research Centre, University of Sydney, Sydney, NSW
  • 2 Westmead Hospital, Sydney, NSW
  • 3 Westmead Clinical School, University of Sydney, Sydney, NSW



Harry Klimis is supported by a Royal Australian College of Physicians Fellows Research Entry Scholarship and a Research Training Program Scholarship. Clara Chow is supported by a National Health and Medical Research Council Career Development Award (APP1105447) co‐funded by a Future Leader Fellowship from the National Heart Foundation.

Competing interests:

No relevant disclosures.


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.