CVD Risk Calculators

What is a cardiovascular risk assessment?

This is a group of tests and health factors that have been scientifically proven to indicate a person’s chance of having a cardiovascular event such as a heart attack or stroke.

Why you need cardiovascular risk calculation?

It helps you to prevent, predict, and monitor cardiovascular diseases (plaque buildup disease). There are 4 main types based on where the plaque buildup occurs:

Coronary heart disease:  Heart attack, angina, and/or heart failure

Cerebrovascular disease:  Brain attack (stroke), transient ischemic attack (TIA)

Peripheral artery disease: High blood pressure, intermittent claudication (leg pains), Erectile dysfunction, etc.

Aortic atherosclerosis: Thoracic or abdominal aortic aneurysm (AAA)

What factors included in cardiovascular risk calculation?

Uncontrollable risks:

Age, gender, race (ethnicity), family history

Controllable risk factors:

Cholesterol (total and HDL), blood pressure (medication used to control blood pressure), body weight (BMI), diabetes, calcium score (heart scan), CRP (inflammation marker), smoking, diet, exercise

Risk Enhancers:

Impact of Race on Cardio-vascular risk

The Pooled Cohort Equations were developed and validated among Caucasian and African Americans.

Indian diaspora (people of India origin) constitute 25% of the world population but account for 60% of cardiovascular disease in the world.

MESA Risk Calculator (Caucasian, Chinese, African American, Hispanic) BUT no category for Asian Indians

Multiethnic risk calculator is available online. It includes Coronary calcium score data input as well. However, it does not include Asian Indians.

How far do you predict cardiovascular risk?

There are two ranges: 10-year prediction, Lifetime prediction.

What are two Risk Calculation Tools

The Heart Age Tool

Cardiovascular risk prediction tools

Pooled Cohort Equations CV Risk Calculator (ACC/AHA)

The current US guidelines for cholesterol and blood pressure management call for use of the “pooled cohort” risk equations to help guide therapy. It is developed by Risk Assessment Work Group, an arm of the ACC/AHA. You can use the links below to calculate your own risk using major

North American (US and Canadian Data Base)

You can choose between 4 different databases by clicking on a specific calculator.

 

  1. Framingham – this calculates the risk of heart attacks + angina/coronary insufficiency + heart failure + strokes + intermittent claudication
  2. QRISK®2-2014 – this calculates the risk of heart attacks + strokes
  3. ACC/AHA ASCVD – this calculates the risk of CHD death + nonfatal heart attacks + fatal/nonfatal strokes
  4. PREDICT – Heart attacks + angina + heart failure + strokes/TIAs + peripheral vascular disease

Astrocharm calculator

Astro-CHARM (the “App”) incorporating traditional cardiovascular risk factors and coronary artery calcium score values. 

Reynolds risk score

This calculator also uses a high-sensitivity CRP level, which is a marker of inflammation

The U-prevent calculators

Our preferred risk calculation tool because it includes all races and ethnic groups, all ages, and also calculates treatment effects.

 

 

 

 

 

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