ASCVD Risk Estimator + (2023)

ASCVD Risk Estimator Plus Terms of Service and License Agreement

This Terms of Service and License Agreement constitutes a legal agreement (collectively, the "Agreement") between the American College of Cardiology Foundation ("ACCF") and You and your agents ("You") for the use of ASCVD Risk Estimator Plus (the "Product"), whether You use the mobile application version of the Product or the web version of the Product. The Product allows You to access certain content included in the Product ("Content") relating to calculation of ASCVD Risk and corresponding guideline advice.

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(Video) ACC History | The New ASCVD Risk Calculator App


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You assume all risks associated with use of the Product including, but not limited to any harm, injury or damages resulting directly or indirectly from the use of the Product, all such risks being known and understood by You. In consideration of your use of the Product, You, for yourself and anyone entitled to act on your behalf, waive and forever release ACCF, its officers, trustees, employees, representatives and successors from all claims and liabilities of any kind arising out of your use or misuse of the Product.


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(Video) RapidASCVD: Calculate ASCVD scores seriously fast


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THE PRODUCT AND CONTENT ARE PROVIDED ON AN "AS IS" AND "AS AVAILABLE" BASIS. ACCF AND ITS SUPPLIERS EXPRESSLY DISCLAIM ALL WARRANTIES OF ANY KIND WITH RESPECT TO THE PRODUCT OR CONTENT, WHETHER EXPRESS OR IMPLIED, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE AND NON-INFRINGEMENT. ACCF MAKES NO WARRANTY THAT THE PRODUCT AND/OR ANY CONTENT THEREIN WILL MEET YOUR REQUIREMENTS, OR WILL BE UNINTERRUPTED, TIMELY, SECURE, CURRENT, ACCURATE, COMPLETE OR ERROR-FREE OR THE RESULTS THAT MAY BE OBTAINED BY USE OF THE PRODUCT OR ANY CONTENT THEREIN WILL BE ACCURATE OR RELIABLE. YOU UNDERSTAND AND ACKNOWLEDGE THAT YOUR SOLE AND EXCLUSIVE REMEDY WITH RESPECT TO ANY DEFECT IN OR DISSATISFACTION WITH THE PRODUCT IS TO CEASE ITS USE.

The Content on the Product is presented as an educational service intended for licensed healthcare professionals. While the Content in the Product is about specific medical and healthcare issues, the Content is not a substitute for or replacement of personalized medical advice and is not intended to be used as the sole basis for making individualized medical or health-related decisions.

The views and opinions expressed are those of the contributing authors and editors and do not necessarily represent the views of the ACCF. The material is not intended to present the only, or necessarily best, methods or procedures for the medical situations addressed, but rather is intended to represent an approach, view, statement or opinion.

Any reference to a specific therapy or commercial product in this Product does not constitute a guarantee or endorsement by ACCF of the quality or value of such therapy or product or any claims made by the manufacturer of such therapy or commercial product.

(Video) How to Calculate your Heart Attack Risk?

In addition, any statements about such therapy or commercial products are solely based on published clinical prediction rules and estimates of drug treatment effects from published clinical studies and do not represent an ACCF endorsement or evaluation of these products.


Force Majeure

ACCF will be excused from performance under this Agreement and will not be liable or considered in default under this Agreement in the event that the Product is unavailable for any period of time, or if ACCF is otherwise unable to perform its obligations hereunder, in whole or in part, as a result of a Force Majeure Event. For purposes of this Section, "Force Majeure Event" means an event or series of events caused by or resulting from any of the following: (1) weather conditions or other elements of nature or acts of God; (2) government regulation; (3) quarantines or embargoes; (4) telecommunications, network, computer, server or Internet downtime; (5) unauthorized access to ACCF's information technology systems by third parties; or (6) any other causes beyond the reasonable control of ACCF.


No Assignment

This Agreement is personal to You, and You may not assign your rights or obligations to anyone.


No Waiver

Neither failure nor delay on the part of any party to exercise any right, remedy, power or privilege hereunder nor course of dealing between the parties shall operate as a waiver thereof, or of the exercise of any other right, remedy, power or privilege. No term of this Agreement shall be deemed waived, and no breach consented to, unless such waiver or consent shall be in writing and signed by the party claimed to have waived or consented. No waiver of any rights or consent to any breaches shall constitute a waiver of any other rights or consent to any other breach.

(Video) Statins and Atherosclerotic Cardiovascular Disease (ASCVD)


Severability

If any provision in this Agreement is held invalid or unenforceable under applicable law, the remaining provisions shall continue in full force and effect.


Governing Law

This Agreement will be governed by and construed exclusively in accordance with the laws of the District of Columbia, USA, without regard to its conflicts of law principles and, to the extent applicable, the federal laws of the United States. If a dispute arises between ACCF and You, You hereby agree to submit such dispute to non-binding mediation, followed by binding arbitration, if necessary. Both the mediation and arbitration will be conducted by JAMS applying the laws of the District of Columbia without regard to its conflicts of laws principles and in the District of Columbia as venue.


Certification

I hereby certify that I understand and agree to the terms stated in this Agreement and that this Agreement applies to my initial use of the Product and all other subsequent uses of the Product. BY USING THIS PRODUCT, I HEREBY AFFIRM THAT I HAVE READ, FULLY UNDERSTAND, AND AGREE TO THE ABOVE STATEMENTS.

FAQs

What is a normal Ascvd risk score? ›

Individuals are preliminarily classified based on estimated risk: 10-year ASCVD risk <5% is low risk; 5%-7.5% is borderline risk; 7.5-20% is intermediate risk, and ≥20% is high risk. High risk individuals should be strongly recommended statin therapy on the basis of risk alone after a clinician patient risk discussion.

How is Ascvd risk calculated? ›

The information required to estimate ASCVD risk includes age, sex, race, total cholesterol, HDL cholesterol, systolic blood pressure, blood pressure lowering medication use, diabetes status, and smoking status.

What is a 10-year Ascvd risk score? ›

It is a calculation of your 10-year risk of having a cardiovascular problem, such as a heart attack or stroke. This risk estimate considers age, sex, race, cholesterol levels, blood pressure, medication use, diabetic status, and smoking status.

How accurate is Ascvd risk calculator? ›

The new ASCVD Risk Estimator (based on the Joint Guidelines of the American College of Cardiology and the American Heart Association) and three older Framingham-based risk scores overestimated cardiovascular events by 37 to 154 percent in men and by 8 to 67 percent in women.

How much do statins lower Ascvd risk? ›

Based on the long-term benefits calculations by Pencina and colleagues,9 high-intensity statin use could prevent 51% to 71% of premature ASCVD events among patients age 30 to 39 years when treated for 30 years, which amounts to almost 1.4 million events in the United States.

How do I lower my Ascvd risk? ›

IN PATIENTS WITH CLINICAL ASCVD, REDUCE LDL-C WITH HIGH-INTENSITY STATINS OR MAXIMALLY TOLERATED STATINS TO DECREASE ASCVD RISK. THE GOAL OF THERAPY IS TO REDUCE LDL-C BY ≥ 50%. IF NECESSARY TO ACHIEVE THIS GOAL, CONSIDER ADDING EZETIMIBE TO MODERATE INTENSITY STATIN THERAPY.

What is the best cardiovascular risk calculator? ›

Healthcare providers use the American College of Cardiology (ACC) Atherosclerotic Cardiovascular Disease (ASCVD) Risk Calculator. It's also called the ASCVD Risk Estimator Plus. This tool assesses the chances of a person ages 40 to 79 developing heart disease over the next 10 years.

What is a good cardiac risk score? ›

If your risk score is between 10-15%, you are thought to be at moderate risk of CVD in the next five years. If your risk score is less than 10%, you are thought to be at low risk of CVD in the next five years.

Can you reverse ASCVD? ›

A growing body of literature demonstrates that aggressive LDL-C lowering can reverse early atherosclerosis, regress advanced plaque, and reduce near- and long-term ASCVD risk.

What does a high ASCVD mean? ›

Atherosclerotic cardiovascular disease (ASCVD) involves the buildup of cholesterol plaque in arteries and includes acute coronary syndrome, peripheral arterial disease, and events such as myocardial infarction and stroke. ASCVD is a major cause of morbidity and mortality in the United States.

What Ascvd risk do you start aspirin? ›

In adults ages 40 to 59 years, the updated recommendations on the use of aspirin in the setting of the primary prevention of ASCVD, published in JAMA, call for individualizing low-dose aspirin therapy for those who have a 10% or greater 10-year cardiovascular disease risk.

Does heart failure count as ASCVD? ›

Key manifestations of ASCVD in diabetes include advanced atherosclerosis manifest as coronary heart disease, ischemic stroke, peripheral artery disease, and heart failure.

When should ASCVD be prescribed statins? ›

The USPSTF recommends that clinicians prescribe a statin for the primary prevention of CVD for adults aged 40 to 75 years who have 1 or more CVD risk factors (i.e. dyslipidemia, diabetes, hypertension, or smoking) and an estimated 10-year risk of a cardiovascular event of 10% or greater.

Is age a risk factor for ASCVD? ›

Age is a major nonmodifiable risk factor for ASCVD and a component of virtually all ASCVD risk prediction equations. Predicted ASCVD risk is also determined by modifiable risk factors.

At what cholesterol level should you start statins? ›

Low-density lipoprotein (LDL) cholesterol.

The most important thing your doctor will keep in mind when thinking about statin treatment is your long-term risk of a heart attack or stroke. If your risk is very low, you probably won't need a statin, unless your LDL is above 190 mg/dL (4.92 mmol/L).

Which statin has the strongest efficacy for lowering LDL? ›

Crestor is made by AstraZeneca and is considered the most potent (strongest) statin. Like other statins, Crestor lowers total cholesterol, LDL cholesterol, and triglycerides while increasing HDL cholesterol.

Do the benefits of statins outweigh the risks? ›

What about side effects? It's important to remember that all medicines have side effects, and statins are no exception. However, for the majority of people taking statins, the benefits in terms of reduced risk of heart attack or stroke will outweigh the risk of side effects.

Do eggs raise LDL? ›

Answer From Francisco Lopez-Jimenez, M.D. Chicken eggs are an affordable source of protein and other nutrients. They're also naturally high in cholesterol. But the cholesterol in eggs doesn't seem to raise cholesterol levels the way some other foods, such as those high in trans fats and saturated fats, do.

At what cholesterol level is medication required? ›

Your health care team may prescribe medicine if: You have already had a heart attack or stroke or have peripheral arterial disease. Your LDL cholesterol level is 190 mg/dL or higher. You are 40–75 years old and have diabetes and an LDL cholesterol level of 70 mg/dL or higher.

What are 3 steps you can take to lower your cholesterol and reduce the risk of what a diet high in cholesterol brings? ›

A few changes in your diet can reduce cholesterol and improve your heart health:
  • Reduce saturated fats. Saturated fats, found primarily in red meat and full-fat dairy products, raise your total cholesterol. ...
  • Eliminate trans fats. ...
  • Eat foods rich in omega-3 fatty acids. ...
  • Increase soluble fiber. ...
  • Add whey protein.

How do you calculate your heart age? ›

To calculate your heart age, you'll need to know your body mass index (BMI) or your cholesterol levels. If you're like most Americans, your heart age is older than your actual age. But you can lower your heart age by adopting a healthier lifestyle. To start, concentrate on making just one or two changes.

What is the score for heart failure? ›

Scores range from 0 to 100, with scores 0-33 having <1% probability of death to scores over 79 having >50% probability of death. Can be used in patients with preserved or impaired LV systolic function.

What is a normal cardiac score? ›

Cardiac calcium scoring chart

A calcium score of 0 means there is no evidence of heart disease. 1-10 is for minimal evidence of heart disease. 11-100 is for mild evidence of heart disease. 101-400 is for moderate evidence of heart disease.

Does anything dissolve plaque in arteries? ›

The key is lowering LDL and making lifestyle changes.

"Making plaque disappear is not possible, but we can shrink and stabilize it," says cardiologist Dr. Christopher Cannon, a Harvard Medical School professor. Plaque forms when cholesterol (above, in yellow) lodges in the wall of the artery.

Is walking good for atherosclerosis? ›

Regular aerobic exercise can help fight atherosclerosis by reducing the amount of fat in your blood, lowering your blood pressure and cholesterol, and controlling your weight. It's never too late to start exercising. Brisk walking, swimming, and bicycling are good choices.

Does exercise reduce plaque in arteries? ›

Coronary atherosclerotic plaques associated with increasing exercise volume may also be more stable and less likely to rupture. We found that the most active athletes had fewer mixed plaques and more often only calcified plaques,4,5 which are associated with a lower risk of cardiovascular events.

What is the best indicator of atherosclerosis? ›

Coronary artery disease: The warning sign for atherosclerosis in the heart is chest pain when you're active, or angina. It's often described as tightness and usually goes away with rest. Other symptoms may include shortness of breath or fatigue.

When should you increase statins? ›

Statin therapy should be adjusted if patients are not meeting the LDL goals above. For patients on at least moderate-intensity therapy who are above the LDL goal, consider increasing to high-intensity statin therapy (defined as lowering LDL cholesterol by an average of ≥ 50%).

Which Nsaid has the highest cardiovascular risk? ›

Several meta-analyses and systematic reviews indicate that diclofenac has demonstrated the highest cardiovascular risk of any of the nonselective NSAIDs.

At what age should you stop taking aspirin? ›

For patients who are eligible and choose to start taking aspirin, the benefits become smaller with advancing age, and data suggest that clinicians and patients should consider stopping aspirin use around age 75 years.

What are the new guidelines for statins? ›

August 23, 2022 – The U.S. Preventive Services Task Force released today a final recommendation statement on statin use for the primary prevention of cardiovascular disease in adults. The Task Force recommends people ages 40 to 75 at high risk for CVD take a statin to prevent a first heart attack or stroke.

When should I stop taking statins? ›

These suggestions used phrases such as “it might be reasonable to consider statin discontinuation” in patients with short life expectancy, multimorbidity or increasing comorbidities, frailty, or functional decline, or when harm outweighs benefit.

Who is at high risk of ASCVD? ›

High risk conditions include age ≥65 years, familial hypercholesterolemia, prior coronary procedures, diabetes mellitus, hypertension, chronic kidney disease, current smoking, persistently elevated low‐density lipoprotein cholesterol, or congestive heart failure.

Which statin is best? ›

Statins lower cholesterol levels through inhibition of HMG-CoA reductase. The synthetic and natural statins have essentially equivalent efficacy at improving the lipid profile. However, in patients who do not achieve their LDL goals, atorvastatin and simvastatin may be the best choices for initial therapy.

Should statins be taken lifelong? ›

Barcelona, Spain – 25 Aug 2022: Stopping statin treatment early could substantially reduce lifetime protection against heart disease since a large share of the benefit occurs later in life. That's the finding of a modelling study presented at ESC Congress 2022.

Which cholesterol medication is recommended to be given nightly? ›

These statins are best taken at night. Simvastatin, pravastatin & fluvastatin are statin's that work better if taken in the evening. Studies show that when simvastatin is taken at night, there is a greater reduction in LDL cholesterol than when the statin is taken in the morning. Lovastatin should be taken with dinner.

Who should not be prescribed statins? ›

People at an increased risk of side effects

being over 70 years old. having a history of liver disease. regularly drinking large quantities of alcohol. having a history of muscle-related side effects when taking a statin or fibrate (another type of medicine for high cholesterol)

Does stress cause artery blockage? ›

Stress increases the plaque rate and it can accumulate in the arteries. It makes platelets sticky and prone to forming clots that can block these arteries. Stress can also cause arteries to constrict, starving the heart of nourishing blood and triggering chest pain or a heart attack.

What are the six main risk factors for cardiovascular disease? ›

Part of this check involves assessing your individual CVD risk and advising you how to reduce it if necessary.
  • High blood pressure. ...
  • Smoking. ...
  • High cholesterol. ...
  • Diabetes. ...
  • Inactivity. ...
  • Being overweight or obese. ...
  • Family history of CVD. ...
  • Ethnic background.

What is a good cardiovascular risk score? ›

If your risk score is between 10-15%, you are thought to be at moderate risk of CVD in the next five years. If your risk score is less than 10%, you are thought to be at low risk of CVD in the next five years.

What is a good cardiac risk number? ›

Normal: <200mg/dL

A ratio greater than 4.5 is considered a high risk for coronary heart disease. The ratio may be decreased by increasing your good (HDL) cholesterol and/or decreasing your bad (LDL) cholesterol.

What is a best risk score? ›

Risk RatingRating Action Bands
1. Most UnlikelyMinimal Risk 1 or 2
2. UnlikelyLow Risk 3 or 4
3. LikelyMedium Risk 6 or 8
4. Most LikelyHigh Risk 9, 12 or 16
2 more rows

What should a 70 year old cholesterol be? ›

After having their cholesterol tested, seniors should be given a number between 190 and 260. Healthy seniors should keep their total cholesterol below 200 and their LDL cholesterol around 100. If your elderly loved one's LDL cholesterol level is above 160, he or she must start making sweeping lifestyle changes.

How high should LDL be before statins? ›

Low-density lipoprotein (LDL) cholesterol.

If your risk is very low, you probably won't need a statin, unless your LDL is above 190 mg/dL (4.92 mmol/L). If your risk is very high — for example, you've had a heart attack in the past — a statin may be helpful even if you don't have high cholesterol.

What is the most important number for cholesterol? ›

LDL cholesterol.

The LDL measurement is usually considered the most important for assessing risk and deciding on treatment.

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