Virtual Conference

Stefan Farsky

National European Cardiology Society, Slovakia

Title: Systematic monitoring of the cardiovascular risk in the primary care approved for the Slovak Republic


Systematic monitoring of the Cardiovascular Risk (CVR) is a standard program of primary prevention approved for the Slovak republic by the Minister of Health since July 2022. It consists of a combination of cardiovascular risk factors, monitoring at the level of GPs, health insurance companies, and the national registry, along with positive economic stimulation to decrease the risk factors levels in the population. The aim is to reduce cardiovascular morbidity and mortality and prolong averaged value of healthy life.
The program includes:
a) men aged 40-65 years on regular preventive examination every 2 years;
b) women aged 50-65 years on regular preventive examination every 2 years;
c) patients aged below 70 with chronic inflammatory diseases, erectile dysfunction, or with migraine accompanied by aura.
The program comprises the following basic parts:
- Physical examination, weight and height for BMI calculation, waist circumference; 
- CVR parameters evaluation and CVR calculation according to SCORE2;
- Modelling of possible risk factors changes and consequent SCORE2 values in interaction with patient;
- CVR classification to different risk categories according to SCORE2;
- Regular reporting of the patient’s SCORE2 parameters, height, weight, BMI, and waist circumference values, found out in preventive examinations from the GP to the corresponding health insurance companies.
Every health insurance company will count averaged CVR, BMI and waist circumference values of all the patients every 2 years as evaluated by GP at preventive examinations. The averaged values would be adjusted according to average age, sex, and urban living conditions of the cohort.
The reward will be assigned to: 
Every patient, whose CVR value at the next preventive examination has decreased by more than 2.5%.
Every patient, whose waist circumference at the first preventive examination was more than 102 cm for men or 88 cm for women (high metabolic risk zone) and whose waist circumference at the next preventive examination has decreased to increased metabolic risk zone (men 94-101cm, women 80-87cm).
Every GP, whose averaged CVR value, counted for all the patients at preventive examinations, has decreased by more than 2.5% at the next preventive examination after 2 years.
The value and form of the reward is determined by the corresponding health insurance company, and the Ministry of Health determines a minimum reward value both for patients and GPs.


To be updated