The result of the ASCVD Risk Estimator can be used to inform a dialogue between a physician and their patient about their risk of cardiovascular disease, and guide discussions surrounding risk-reducing interventions, such as life-style intervention or preventative medication.
The ASCVD Risk Estimator was originally derived in a US cohort of patients, and may overestimate or underestimate risks in other populations. However, its discriminative ability remains good (AUROC: 0.75 (95% CI: 0.74, 0.77))
When deciding upon the use of preventative medications such as statins, it is recommended to use not just the 10-year ASCVD Risk, but also look at the individual risk factors for a patient. Precise risk categories depend and vary based upon the target population and the local guidance organisation, but risks above 10% are generally considered high, and risks above 20% very high.
Calculations alone should never dictate patient care, and are no substitute for professional judgement. See our full disclaimer.
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