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.
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 |
| On Hypertension Treatment | Manual Input | Has the patient been treated for hypertension? |
| History of Diabetes | Problems | Whether the patient has diabetes or not |
| Smoker | Problems | Patient is a current smoker |
| On a Statin | Medications | Statin medications |
| On Aspirin Therapy | Medications | Medications used for aspirin therapy |
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 |
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/