Cardiac Risk Calculator

What is a cardiac risk calculator?

A cardiac risk calculator is a screening tool. You and your healthcare provider can use it to determine your risk of future cardiovascular disease. The information can help you take steps to reduce your risk. Lifestyle changes or medications may help prevent life-threatening heart problems.

What does a cardiac risk calculator (cardiovascular risk assessment) do?

A cardiac risk calculator uses your personal health information to gauge your future risk of cardiovascular disease (heart disease). It can help determine the likelihood of:

• Atherosclerosis.
• Coronary artery disease.
• Heart attack.
• Heart failure.
• Stroke.

How do healthcare providers use cardiovascular risk assessments?

Your healthcare provider uses results from cardiac risk calculators to:

• Assess your current heart health.
• Gauge your risk of developing problems like high blood pressure and high cholesterol. These issues contribute to heart disease.
• Help you take steps to prevent problems that affect heart health.
• Select appropriate treatments to lower your risk of heart problems.
• Monitor the effectiveness of treatments.

Who shouldn’t use a cardiac risk calculator?

Cardiac risk calculators are only helpful if you haven’t already had a heart event. The information isn’t useful if you’ve had a heart attack, stroke or heart failure.

What information does a cardiac risk calculator (cardiovascular risk assessment) require?

There are different methods to assess heart disease risk factors. In general, a heart disease risk assessment may consider your:

• Age, sex and race.
• Blood pressure and use of medications to treat high blood pressure.
• Cholesterol levels and use of statins to treat high cholesterol.
• Diabetes status.
• Family history of heart attacks or heart disease, especially before age 60.
• History of aspirin therapy to lower the risk of heart problems.
• Smoking history (past or current smoker or never smoked).

What are the types of cardiac risk calculators (cardiovascular risk assessments)?

Different online calculators and smartphone apps perform cardiovascular risk assessments. You may also complete an assessment at your healthcare provider’s office. Each tool may ask for slightly different information. But there shouldn’t be much (if any) difference in the results.

Here’s a look at some reputable cardiac risk calculators that you and your healthcare provider may use:

ASCVD risk calculator

Healthcare providers use the American College of Cardiology (ACC) Atherosclerotic Cardiovascular Disease (ASCVD) Risk Calculator. It’s also called the ASCVD Risk Estimator Plus. This tool assesses the chances of a person ages 40 to 79 developing heart disease over the next 10 years.

Atherosclerotic refers to hardening or narrowing of the arteries. This problem contributes to heart disease. The tool can also estimate the lifetime heart disease risk for people ages 20 to 59.

The ACC collaborated with the American Heart Association (AHA) to develop this reliable heart risk calculator. The online AHA Cardiovascular (CV) Risk Calculator is a modified ASCVD Risk Calculator that asks fewer questions. Still, your results should be nearly identical.

Providers also use the ASCVD Risk Calculator to see how certain treatments might improve your risk status. For instance, taking a statin to lower high cholesterol may reduce your risk from intermediate to borderline or low risk. This improvement is called therapy impact. Both the AHA and ACC heart risk calculators suggest actions you can take to improve your risk score.

The ASCVD Risk Calculator can also show how one or more of these steps can prevent heart disease:

• Start cholesterol-reducing medications or increase the dosage.
• Start blood pressure medicine or add a new one.
• Start or continue aspirin therapy.
• Stop smoking.

Reynolds risk score

The Reynolds Risk Score evaluates heart disease risk for all genders who don’t have diabetes. This tool excludes people with diabetes because they already have a higher likelihood of heart disease and strokes.

The Reynolds Risk Score uses information about your age, sex, blood pressure and cholesterol levels. It also takes into account whether your mother or father had a heart attack before age 60. This information can indicate a genetic risk for heart problems.

The calculator also factors in your high-sensitivity C-reactive protein (hsCRP) level. Your provider may request this information as part of a blood test to determine risk of coronary artery disease.

How is cardiac risk calculated?

Cardiac risk calculators give a heart disease risk score as a percentage. The lower the percentage, the lower your chances of developing heart disease in the next 10 years. The higher the percentage, the greater your chances of significant heart problems now and in the future. The ASCVD Risk Calculator also predicts your lifetime risk of a heart problem.

To determine your score, the tool compares your information to patient data from earlier heart disease clinical studies.

Many heart risk calculators classify your risk of cardiovascular disease as:

• Low: Less than a 5% risk.
• Borderline: A 5% to 7.4% risk.
• Intermediate: A 7.5% to 19.9% risk.
• High: More than a 20% risk.

What other factors play a role in heart risk assessment?

Depending on your cardiovascular risk assessment score and your symptoms (if any), your healthcare provider may order additional tests, such as:

• Blood test for hsCRP.
• Lipid panel to measure total cholesterol, triglycerides and lipoproteins, including lipoprotein (a).
• Electrocardiogram (ECG).
• Exercise stress test.

How can I improve my heart disease risk score?

You can take these steps to lower your chances of heart disease:

• Eat a heart-healthy diet.
• Get regular aerobic exercise (at least 150 minutes per week).
• Limit alcohol consumption.
• Lose weight (if needed) and maintain a healthy weight.
• Find healthy ways to manage stress.
• Get help to quit smoking and avoid secondhand smoke.
• Manage conditions like high blood pressure, diabetes and high cholesterol.

A note from Cleveland Clinic

A cardiac risk calculator (cardiovascular risk assessment) evaluates your unique information to gauge your future risk of heart disease. You and your healthcare provider can use this information to take steps to reduce your risk. The ASCVD Risk Calculator assesses heart disease risk. It also shows the impact specific therapies can have on decreasing this risk. You can take a heart risk assessment online, via a smartphone app or at your provider’s office. Be sure to share at-home cardiac risk assessment information with your provider so you can discuss ways to protect your heart health.