Galen eCalcs - Calculator: CV Risk

Description

The Cardiovascular (CV) Risk calculator identifies a patient's 10 year and lifetime risk for atherosclerotic cardiovascular disease. This is defined by coronary death or nonfatal myocardial infarction and fatal or nonfatal stroke. The calculator can carry forward the patient's most recent CV Risk results.

Limitations

Estimations are based on multiple populations and are applicable for White Caucasions and African Americans. For other ethnicities, it is recommended to use a different equation. The calcultor may underestimate for American Indians, South Asians and some Hispanics such as Puerto Ricans. The calculator may overestimate for Asian Americans and Mexican Americans.

Ranges

The Life Time Risk score can be calculated for patients between the ages of 20-59.

The Ten Year Risk score can be calculated for patients between the ages of 40-79.

Calculator Configuration Options

Preference Name	Valid Range	Description
Publishing	Checked / Unchecked	When checked, the calculator will display for users on the front end. When unchecked, the calculator WILL NOT display for users on the front end.
Orderable Item Override	(BLANK) / G-CVRisk	“(BLANK)” indicates that the global configuration options for Orderable Item will be used. “G-CVRisk” indicates that the calculator specific value will be used and can display the specific calculator name in the chart output.

Calculator Inputs

Input	Mapping Type	Description
Age	Demographics	Patient's Age
Sex	Demographics	Patient's Sex
Race	Demographics	Patient's Race
Total Cholesterol	Results	Patient's total cholesterol
HDL Cholesterol	Results	Patient's HDL Cholsterol
LDL Cholesterol	Results	Patients' LDL Cholesterol
Systolic Blood Pressure	Vital Signs	Patient's systolic blood pressure
Diastolic Blood Pressure	Vital Signs	Patient's diastolic blood pressure in mm Hg
Hypertension Problem	Problems	Whether the patient has hypertension or not
History of Diabetes	Problems	Whether the patient has diabetes or not
SmokerCurrent	Problems	Patient is a current smoker
SmokerNon	Problems	Patient never smoked
SmokerFormer	Problems	Patient is a former smoker
ASCVD	Problems	Whether the patient has had ASCVD or not
On a Statin	Medications	Statin medications
On Aspirin Therapy	Medications	Medications used for aspirin therapy
Hypertension Medication	Medications	Hypertension medications
Age	Result	Age of patient used in previous calculator result's input
Total Cholesterol	Result	Total Cholesterol value used in previous calculator result's input
HDL Cholesterol	Result	HDL Cholesterol value used in previous calculator result's input
LDL Cholesterol	Result	LDL Cholesterol value used in previous calculator result's input
Systolic Blood Pressure	Result	Systolic blood pressure value used in previous calculator result's input
On Hypertension Treatment	Result	Whether or not the patient was on hypertension treatment according to the previous calculator result's input
History of Diabetes	Result	Whether or not the patient has a history of diabetes according to the previous calculator result's input
Smoking Status	Result	The patient's smoking status according to the previous calculator result's input
Smoking when Quit	Result	If the patient was a former smoker, when the patient quit smoking according to the previous calculator result's input

Calculator Outputs

Output	Mapping Type	Description
Lifetime ASCVD Risk	Result	Patient's lifetime risk of cardiovascular disease
Current 10-Year ASCVD Risk	Result	Patient's 10-year risk of cardiovascular disease
Composite Updated 10-Year ASCVD Risk	Result	Patient's 10-year ASCVD Risk (%) when refining, using patient's current values
Current 10-Year ASCVD Risk Had No Treatment Been Initiated	Result	Patient's 10-year ASCVD Risk (%) when refining, using patient's previous values but current age
Previous 10-Year ASCVD Risk	Result	Patient's previous 10-year risk of cardiovascular disease value
Optimal 10-Year ASCVD Risk	Result	10-year ASCVD Risk (%) for someone patient's age with optimal risk factor levels
Age	Result	Age of patient used in input
Total Cholesterol	Result	Total Cholesterol value used in input
HDL Cholesterol	Result	HDL Cholesterol value used in input
LDL Cholesterol	Result	LDL Cholesterol value used in input
Systolic Blood Pressure	Result	Systolic blood pressure value used in input
On Hypertension Treatment	Result	Whether or not the patient was on hypertension treatment according to the input
History of Diabetes	Result	Whether or not the patient has a history of diabetes according to the input
Smoking Status	Result	The patient's smoking status according to the input
Smoking when Quit	Result	If the patient was a former smoker, when the patient quit smoking according to the input
10-Year Result Interpretation	Result	The interpretation of the patient's 10-year risk (Low/Borderline/Intermediate/High/NA)
Baseline 10-Year Result Interpretation	Result	The interpretation of the patient's baseline 10-year risk (Low/Borderline/Intermediate/High/NA)
Composite Follow-up 10-Year Result Interpretation	Result	The interpretation of the patient's composite follow-up 10-year risk (Low/Borderline/Intermediate/High/NA)
Statin Therapy	Result	The patient's 10-year risk if statin therapy is initiated
Blood Pressure Drug Therapy	Result	The patient's 10-year risk if blood pressure drug therapy is initiated
Aspirin Therapy	Result	The patient's 10-year risk if aspirin therapy is initiated
Smoking Cessation	Result	The patient's 10-year risk if the patient stops smoking

References

Updated Reference for Risk Estimator Plus: http://tools.acc.org/ASCVD-Risk-Estimator-Plus/#!/calculate/estimate/

Original Reference: http://tools.acc.org/ASCVD-Risk-Estimator/