RapidASCVD vs CV Risk Estimation

RapidASCVD accurately estimates 10-year ASCVD (atherosclerotic cardiovascular disease) and cardiovascular risk using the American Heart Association (AHA) PREVENT equations. The user interface has been optimized for speed so that busy clinicians are able to quickly calculate risk scores for patients in the fastest amount of time possible -- usually within about 10–15 seconds. RapidASCVD estimates the 10-year probability of a first-time (primary) cardiovascular event in adults aged 30–79 years without known cardiovascular disease. In addition to 10-year ASCVD risk, the app reports 10-year risk of total cardiovascular disease (CVD), heart failure, coronary heart disease (CHD), and stroke, along with a comparison against optimal risk factors. These estimates are not appropriate for use in patients who have already had an established cardiovascular event. RapidASCVD has been extensively tested for accuracy against the AHA PREVENT equations (Circulation. 2024; doi: 10.1161/CIRCULATIONAHA.123.067626, including the October 2026 HbA1c correction, doi: 10.1161/CIR.0000000000001491), which are derived from the following variables: • Age • Sex • Total cholesterol (mg/dL or mmol/L) • HDL cholesterol (mg/dL or mmol/L) • Systolic blood pressure • Body mass index (BMI, with built-in height/weight calculator) • Estimated GFR (eGFR, with built-in 2021 CKD-EPI creatinine calculator) • History of diabetes mellitus • Current smoking status • Presence of antihypertensive therapy • Presence of statin therapy Optional risk factors: • Hemoglobin A1c (HbA1c) • Urine albumin-to-creatinine ratio (UACR) • Social Deprivation Index (SDI, by category or built-in offline 5-digit US ZIP code lookup) Risk categorization and statin intensity guidance are aligned with the 2026 ACC/AHA Guideline on the Management of Dyslipidemia (doi: 10.1161/CIR.0000000000001423). This clinical tool operates 100% offline, stores no patient data, and is intended to be used in conjunction with clinical judgment and shared decision-making.

This app is for CLINICIANS, not the lay public. The CV Risk app presents clinicians with three valuable 10-year cardiovascular event risk calculators to serve clinicians and learners in primary prevention of cardiovascular disease. It is for clinicians only, not the lay public. The calculators are Framingham 2008, ASCVD 2013, and the revised pooled cohort equations ASCVD of 2018. The app addresses such common questions as: • What is the ASCVD 10-year CV risk for a 57 year old male hypertensive smoker with a given set of lipid and blood pressure numbers? • What’s the magnitude of impact of a patient on their own improving their cholesterol by 11, 27, or 41 points? • For a poorly controlled hypertensive smoker with a 10-year risk of 31.3%, how impactful would improved blood pressure control or smoking cessation be? • How impactful is a cholesterol of 220 on a given patient's risk at 35 vs. 55 vs. 75 years old? • I hear that ASCVD 2013 overestimates risk, particularly for black adults? True? What about the revised pooled cohort equations of 2018? The app explicitly does not include treatment thresholds, LDL targets, estimates of impact of therapy, coronary calcium scoring, etc. I wanted the cleanest simplest tool possible for evaluating and discussing cardiovascular risk with all the other more subjective, controversial stuff out of the way. This app is written and intended for practicing clinicians like internists and family physicians; for resident physician trainees; for medical students; and of course for other clinician colleagues like NP's and PA's. Cardiologists could use this app, but you folks are focused on secondary prevention, which is an entirely different ballgame. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.