❤️ ASCVD 10-Year Risk (Pooled Cohort Equations)
UsePrimary-prevention risk assessment in adults aged 40–79 without established ASCVD, to guide statin and risk-f…
SourceSame guideline JACC doi:10.1016/j.jacc.2013.11.005
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
- Who it is for
- Adults using the Chinese population model for 10-year risk and a lipid-intensity band.
- Who it is not for
- US PCE is not the main door for ASCVD in China. Pregnancy does not enter statin intensity; contraindication or caution only.
- Formula and variables
- The main door is China-PAR, the equation already on this page: sex, age, region, urban or rural, waist, treated or untreated systolic pressure, total cholesterol, HDL cholesterol, smoking, diabetes, family history, and the rest. Coefficients stay as on this page and are not changed. This equation is not the risk-factor counting flowchart. Until that crosswalk is pinned, the two cannot be swapped automatically.
- Result → next step
- This page is US PCE, not the main door for ASCVD in China. The next page for a Chinese adult is China-PAR. No numeric lipid dose on this page.China-PAR main door →
- Guideline
- China blood lipid guideline 2023
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
A statin is generally considered at ≥ 7.5% 10-year risk, with shared decision-making and risk-enhancing factors.
When to use
Primary-prevention risk assessment in adults aged 40–79 without established ASCVD, to guide statin and risk-factor decisions.
How it works
Race- and sex-specific Pooled Cohort Equations using age, total and HDL cholesterol, systolic BP (treated/untreated), smoking and diabetes. Strata: < 5% low, 5–7.5% borderline, 7.5–20% intermediate, ≥ 20% high.
Key points
- A statin is generally considered at ≥ 7.5% 10-year risk, with shared decision-making and risk-enhancing factors.
- The PCE were derived in US White and African-American cohorts and often over-estimate risk in Asian and some other populations.
- Use only for primary prevention (no established ASCVD); cholesterol entered in mmol/L is converted internally to mg/dL.
- Consider a locally validated model (China-PAR, SCORE2) where available.
References
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using ASCVD 10-Year Risk (Pooled Cohort Equations)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does ASCVD 10-Year Risk (Pooled Cohort Equations) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.