The Cardiovascular
ToolsCalculators

ASCVD (Atherosclerotic Cardiovascular Disease) 2013 Risk Calculator

ASCVD (Atherosclerotic Cardiovascular Disease) 2013 Risk Calculator
Sex
Race
The Pooled Cohort Equations use separate coefficients for Black and White/other adults.
Age
years
Total cholesterol
HDL cholesterol
Systolic blood pressure
mmHg
Treated for hypertension
Current smoker
Diabetes mellitus
Complete the fields above to see the result.

When to use

  • Estimating 10-year atherosclerotic cardiovascular disease risk in adults 40-79 years without known ASCVD to inform statin therapy discussions.

Formula

Sex- and race-specific Cox models using ln(age), ln(total cholesterol), ln(HDL), ln(systolic BP, with a separate coefficient depending on treatment), smoking, and diabetes; risk = 1 - S0(10)^exp(sum of coefficients x values - group mean). Valid for ages 40-79.

Pearls and pitfalls

  • Not validated below age 40, above age 79, or in patients with known ASCVD, LDL >=190 mg/dL, or diabetes and age 40-75 already meeting automatic statin criteria.
  • Race-specific coefficients derived from US cohorts; consider caution in other populations.

References

  1. Goff DC Jr, Lloyd-Jones DM, Bennett G, et al. 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk. Circulation. 2014;129(25 Suppl 2):S49-73.