We found tests to determine cardiovascular risk taking into account lipid profile, blood pressure, age, history of diabetes, other laboratories. But when weight is involved, there is a paradox. I would like to know if there is any way to measure cardiovascular risk in obese patients. Thanks
I am not sure what paradox you are referring to. Cardiovascular risk in obese patients can be measured by looking at the risk factors you mention : lipids, BP, diabetes, smoking, sex and age. Other risk factors may alter this risk slightly, but not enough to change treatment and prevention decisions. There was an interest, at one point, in the hypothesis that high BP associated with obesity had a low risk ratio than hypertension in those at normal weight. However, the effect was small, and was more likely to be due to the failure to use a large enough cuff with obese patients.
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