Current U.S. prevention guidelines for blood pressure and cholesterol management recommend use of the pooled cohort equations (PCE) to assess 10-year ASCVD risk and start a process of shared decision-making between clinicians and patients.

The ACC/AHA Task Force on Clinical Practice Guidelines has commissioned this guideline to consolidate existing recommendations and various recent scientific statements, expert consensus documents, and clinical practice guidelines into a single guidance document focused on the primary prevention of ASCVD.

ACC/AHA guidelines recommend the use of the PCE as an important starting point, not as the final arbiter, for decision making in primary prevention of ASCVD. The information required to estimate ASCVD risk includes age, sex, race, total cholesterol, HDL cholesterol, systolic blood pressure, blood pressure lowering medication use, diabetes ...

This Risk Estimator is intended as a companion tool to the 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk and the 2018 AHA/ACC Guideline on the Management of Blood Cholesterol. This Risk Estimator enables health care providers and patients to estimate 10-year and lifetime risks for atherosclerotic cardiovascular disease (ASCVD ...

2020年10月29日 · The pooled cohort equations (PCE) were introduced in 2013 as sex- and race-specific tools for estimating 10-year absolute rates of atherosclerotic cardiovascular disease (ASCVD) events in a primary prevention population. 1 The risk estimates were derived based on a combination of established cardiovascular risk factors examined prospectively in ...

2023年10月10日 · The PCE risk score revealed good overall performance (c-statistic 0.78) and in sex and race subgroups, which was highest among non-White female subjects (c-statistic 0.81) and lowest among White male subjects (c-statistic 0.77) (Table 2). Overall, the PCE accurately estimated the risk for ASCVD in the community, with only a minimal absolute ...

2018年11月10日 · The 2018 Cholesterol Clinical Practice Guidelines 10 and the 2017 Hypertension Clinical Practice Guidelines 7 recommend use of the US-derived pooled cohort equations (PCE) 5 to estimate 10-year risk for hard ASCVD events (defined as coronary death, nonfatal myocardial infarction, fatal or nonfatal stroke). The PCE are designed to be sex- and ...

Cardiovascular Risk Assessment predicts the risk of heart disease or stroke in the next 10 years using the ACC/AHA Pooled Cohort Equations. Accurately assess cardiovascular risk with the 10-year ACC/AHA PCE: Pooled Cohort Equations.

2023年10月10日 · The PCE revealed good performance overall (c-statistic 0.78) and in sex and race subgroups; it was highest among non-White female subjects (c-statistic 0.81) and lowest in White male subjects (c-statistic 0.77).

3 天之前 · There is an ongoing debate around the best use of cardiac imaging in guiding primary preventive treatment of coronary heart disease (CHD). 1 Currently, most guidelines recommend first assessing CHD risk with a traditional risk score, such as the pooled cohort equation (PCE), and then refining the risk for individuals at intermediate risk using computed tomography (CT) for coronary artery ...