• Per guidelines, ASCVD is defined as any CAD/angina, TIA, PAD, aortic aneurysm (all of atherosclerotic origin), or any artery revascularization.
  • 📝 CAC is not included as an ASCVD category

ASCVD Risk Calculator

• ACC/AHA ASCVD Risk Estimator Plus
  • 10-year risk of fatal/non-fatal MI or stroke
• Optimal risk factors
  • Total cholesterol ≤ 170 mg/dL
  • HDL-C ≥ 50 mg/dL in F; 40 in M
  • Systolic BP ≤ 110 mmHg
  • Not taking medications for HTN
  • Not a diabetic
  • Not a smoker
• Do NOT use if patient has ASCVD, i.e. CAD, PAD, Cerebral Vascular Disease
  • In other words, only use the ASCVD Risk Calculator if the patient doesn’t already have a history of ASCVD.
• Provides information on risk reduction if patient takes steps to improve their health.
• 2018 Cholesterol Guidelines for Primary Prevention
  • ACC/AHA Risk Evaluation recommended a statin in half of patients
  • Missed a “hard CVD” event in quarter of patients
• ∴ New guidelines introduced “Risk Enhancers”