Determine the 10-year risk of hard ASCVD, i.e., myocardial infarction, stroke, or death due to coronary heart disease or stroke.
“`htmlASCVD Risk Calculator
Estimates the 10-year risk of a first hard atherosclerotic cardiovascular disease event, including myocardial infarction, coronary heart disease death, or stroke.
Estimated 10-Year ASCVD Risk
Risk Categories
- Low risk< 5%
- Borderline risk5%–7.4%
- Intermediate risk7.5%–19.9%
- High risk≥ 20%
Important
This calculator is for educational and clinical support purposes only. It does not replace professional medical advice, diagnosis, treatment decisions, or shared decision-making with a clinician.
How to interpret the result (quick guide)
- Low risk (<5%) – Emphasize lifestyle optimization.
- Borderline (5–7.4%) – Consider risk-enhancing factors and shared decision-making.
- Intermediate (7.5–19.9%) – Discuss starting statin therapy and tightening BP control per ACC/AHA guidance.
- High (≥20%) – Statin therapy is generally recommended; intensify risk-factor management.
References
- 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk—derivation and validation of the Pooled Cohort Equations (PCE). AHA Journals
- ACC/AHA ASCVD Risk Estimator (web app)—official tool and risk category cut points. tools.acc.org+1
- EBMcalc implementation notes—explicit PCE coefficients (S10, MeanTerms, and all term multipliers) used above. ebmcalc.com
- ClinCalc PCE overview—scope, inputs, and practical notes on use. clincalc.com
Safety note: This calculator supports clinical conversations but doesn’t replace clinician judgment, individualized risk-benefit discussions, or local guideline updates (e.g., CAC scoring for borderline/intermediate risk).

