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ACC/AHA Pooled Cohort Equations for 10-year ASCVD risk estimation
The ACC/AHA Pooled Cohort Equations estimate 10-year risk of a first atherosclerotic cardiovascular disease (ASCVD) event, including heart attack and stroke. Developed from multiple large cohort studies, it's the primary tool for guiding statin therapy decisions in the US.
This calculator is intended for primary prevention (no prior ASCVD). Those with existing cardiovascular disease, diabetes with target organ damage, LDL ≥190, or familial hypercholesterolemia should receive statin therapy regardless of calculated risk.
Consider these when risk is borderline or intermediate: