1. Do risk factors factor? Simon Carley

2. risk and diagnosis 3. Officer Smith Creatiive Commons https://www.flickr.com/photos/tamaracraiu/ 4. http://floatnurse-mike.blogspot.co.uk/2012/02/ekg-rhythm-strips_22.html 5. he was not at risk 6. Creative Commons: https://www.flickr.com/photos/stanfordedtech/ 7. Creative Commons: https://www.flickr.com/photos/stanfordedtech/ Mr Smith is admitted for a ROMI 8. Creative Commons: https://www.flickr.com/photos/stanfordedtech/ for the 5th time this year 9. Creative Commons: https://www.flickr.com/photos/stanfordedtech/ which is not positive 10. Creative Commons: https://www.flickr.com/photos/stanfordedtech/ 11. He had risk factors.. 12. So which decision was easiest for you as a clinician to understand? 13. Whos risk? 14. Who is at risk here? 15. risk proximity 16. 1. Risk in the next hour 2. Risk in next day 3. Risk in next week 4. Risk in next month 5. Risk in lifetime 17. Emergency Medicine 18. How risky are risk factors? 19. For a patient presenting to the ED, the classical coronary risk factors convey minimal risk for acute cardiac ischemia, 20. Cardiac risk factor burden has limited clinical value in diagnosing acute coronary syndromes in the ED setting, especially in patients over 40 years. 21. So why dont risk factors feature? 22. Do risk factors lead to disease? 23. People with disease Risk Factor 24. People with disease Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor 25. People with disease Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk FactorRisk Factor 26. People with disease Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk Factor Risk FactorRisk Factor Risk Factor Risk Factor 27. Diagnosis leads to risk factors not the other way round! 28. can risk factors themselves influence pain perceptions? 29. We tell people to come. 30. patients with disease know what to look for 31. http://www.patient.co.uk/health/angina-leaflet 32. Beyond cardiac 33. Chronic risk factors may not predict acute events. So what are acute risk factors? 34. So where does this leave us? 35. Final thoughts