ACC/AHA 2013 Cardiovascular Risk Assessment

Input:
Race African American

White

Other (see notes)
Sex Female

Male
Age
Total Cholesterol
HDL Cholesterol
Systolic Blood Pressure
On Hypertension Med No

Yes
Diabetes No

Yes
Smoker No

Yes
Results:
Ten Year Risk
 
Decimal Precision:
  • This calculator helps predict the 10-year risk of the following hard ASCVD events:
    • First occurence of nonfatal myocardial infarction
    • CHD death
    • Fatal or nonfatal stroke
  • This calculator may overestimate risk (see Lancet reference) and a discussion with the patient needs to ensue if there are any questions.
  • Risk estimates were developed from cohorts primarily comprising White and African American subjects. Risk may be underestimated in American Indians, Asian Americans of South Asian ancestry, and Puerto Ricans. Risk may be overestimated in Asian Americans of East Asian ancestry and some Mexican Americans.
  1. Goff DC Jr, Lloyd-Jones DM, Bennett G, et.al. 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2013 Nov 12.
  2. Stone NJ, Robinson J, Lichtenstein AH, et. al. 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2013 Nov 12.
  3. Ridker PM, Cook NR. Statins: new American guidelines for prevention of cardiovascular disease. Lancet. 2013 Nov 30;382(9907):1762-5. doi: 10.1016/S0140-6736(13)62388-0. Epub 2013 Nov 20.
  4. Downs J, Good C. New Cholesterol Guidelines: Has Godot Finally Arrived?. Ann Intern Med. 2014 Jan 28. doi: 10.7326/M13-2850.
  5. Vaishnava P, Eagle KA. ACP Journal Club. ACC/AHA, Adult Treatment Panel III, and ESC guidelines overestimated risk for CVD in older adults. Ann Intern Med. 2014 Aug 19;161(4):JC13.
  6. Kavousi M, Leening MJ, Nanchen D, et. al. Comparison of Application of the ACC/AHA Guidelines, Adult Treatment Panel III Guidelines, and European Society of Cardiology Guidelines for Cardiovascular Disease Prevention in a European Cohort. JAMA. 2014 Mar 29. doi: 10.1001/jama.2014.2632.
  7. Navar-Boggan AM, Newby LK. ACC/AHA Pooled Cohort Risk Equations predicted 5-y risk for CV events in adults considered for statin initiation. Ann Intern Med. 2014 Aug 19;161(4):JC12.
  8. Muntner P, Colantonio LD, Cushman M, et. al. Validation of the Atherosclerotic Cardiovascular Disease Pooled Cohort Risk Equations. JAMA. 2014 Mar 29. doi: 10.1001/jama.2014.2630.
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