KevinMD July 29, 2024
Charles Dinerstein, MD, MBA

In 2013, the American Heart Association (AHA) and the American College of Cardiology (ACC) created a “risk calculator” to estimate the 10-year risk of atherosclerotic cardiovascular disease (ASCVD) and guide patient-centered medical therapy for prevention strategies, like starting statins. However, concerns arose that the pooled cohort equations (PCEs) overestimate risk and do not reflect the current diverse U.S. population, particularly underrepresenting Asian and Hispanic adults.

In 2023, AHA’s Cardiovascular-Kidney-Metabolic Scientific Advisory Group introduced a new “calculator,” the Predicting Risk of Cardiovascular Disease Events (PREVENT) equations. These new equations reflect more diverse and recent cohorts from electronic health record data.

Because of differences in the risk factors considered, the composition of the patients studied, as well as the significant changes in...

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