Cardiovascular Risk Calculator
The Absolute CVD Risk/Benefit Calculator
- FraminghamUS Data, 10 Year RiskHeart attacks + angina/coronary insufficiency + heart failure + strokes + intermittent claudication
- QRISK®2-2014UK Data, 10 Year RiskHeart attacks + strokes
- ACC/AHA ASCVDUS Data, 10 Year RiskCHD death + nonfatal heart attacks
+ fatal/nonfatal strokes - PREDICTNew Zealand Data, 5 Year RiskHeart attacks + angina + heart failure + strokes/TIAs + peripheral vascular disease
Age
CVD risk is reversed after 5-10 years of no smoking
Systolic Blood Pressure
Enter present blood pressure regardless of treatment
120 mmHg is used for baseline risk
Click YES if taking blood pressure medication
Only applies if SBP is greater than 120 mmHg
Total Cholesterol
Cholesterol should be prior to drug treatment
3 mmol/L is used for baseline risk.
Click to change to mg/dL.
116 mg/dL is used for baseline risk.
Click to change to mmol/L.
HDL Cholesterol
HDL should be prior to drug treatment
1.3 mmol/L is used for baseline risk.
50 mg/dL is used for baseline risk.
CKD status is not part of the risk algorithm but is used for calculating the benefit of certain therapies
Family History of Early CHD
The amount of additional risk (relative increase in risk) conferred from a family member to a patient depends on: (1) how close a relative, (2) age of a relative, (3) number of affected family members.
If mother (< 65 yrs) increase risk 60%
If father (< 55 yrs) increase risk 75%
Relative Benefit: 0%
Benefit often has nothing to do with the effect on the surrogate marker. At present, you can only select one intervention at a time.
- Physical Activity
- Mediterranean Diet vs Low fat
- Vitamin/Omega-3 supplements
- BP meds (not atenolol/doxazosin)
- Low-mod intensity statins
- High intensity statins
- Fibrates
- Niacin
- Ezetimibe
- Metformin
- Sulfonylureas
- Insulins
- Glitazones
- GLPs
- DPP-4s
- Meglitinides
- SGLT2
- Smoking Cessation
- ASA
Risk Time Period
98.8% | No event | |
---|---|---|
1.2% | Total with an event | |
0.0% | Number who benefit from treatment | |
NNT | ∞ | Number needed to treat |
1.2% | Baseline events using baseline factors alone | |
0.0% | Additional events “caused” by risk factors |
As with all risk calculators, calculated risk numbers are +/- 5% at best. More information.