⚠ In clinical review — do not use for patient care. The 10-year ASCVD risk shown here is now computed live from the AHA PREVENT™ equations(a rebuild of this tool’s risk engine), and the fast-path gate routing (live LDL-goal banner with early exit for clinical ASCVD, LDL ≥190, and diabetes age 40–75) is also new. Neither has been reviewed or signed off by a physician. Verify every output against the AHA PREVENT calculator and the 2026 ACC/AHA dyslipidemia guideline before acting. Reviewed: false.
Disclaimer: This tool is for clinician-supervised lipid result routing and documentation support only. It is not an autonomous prescribing tool and does not replace provider judgment. All medication starts, stops, dose changes, advanced lipid therapy decisions, and urgent result actions require review and approval by the responsible clinician unless a formal clinic-approved standing protocol is in place. Do not enter PHI.
Live LDL goal<100 mg/dLRisk discussion — statin if risk enhancers favor therapy
Why: Primary prevention (full pathway). Updates live as inputs are entered.
Step 1: Risk Profile
Optional initials only — do not enter PHI (full name, DOB, MRN, etc.)
Known clinical ASCVD (prior MI, stroke, PCI, CABG, PAD)?
Risk factors — check all that apply (unchecked = No)
ACC/AHA PREVENT™ 10-year risk (computed)
Enter the values below and the tool computes the 10-year ASCVD risk directly (AHA PREVENT equations, validated ages 30–79). Total cholesterol and HDL are pulled from Step 3 · Lipid Results.
Sex assigned at birth (PREVENT is sex-specific)
On BP-lowering medication?
Optional inputs (BMI, HbA1c, UACR) — refine the model
Awaiting inputs to compute risk — needs sex, age 30–79, systolic BP, eGFR, plus total cholesterol & HDL from Step 3. Outside age 30–79 or with labs missing, the tool falls back to the manual category below.
Manual PREVENT category (fallback — age outside 30–79 or labs unavailable)
Used only when the computed result above is unavailable.
Step 2: CAC Score
CAC (Coronary Artery Calcium) score available?
Incidental CAC on non-gated CT (chest CT, etc.)?
Step 3: Lipid Results
Non-HDL-C (auto-calculated): — (enter TC and HDL)= Total Cholesterol − HDL-C
Advanced lipid markers help identify residual risk beyond LDL-C. These values mirror entries from the Lipid Results section.
Lipoprotein(a) — Lp(a)
Lp(a) ≥50 mg/dL or ≥125 nmol/L is elevated. Largely genetically determined; not responsive to statins. The 2026 ACC/AHA dyslipidemia guideline recommends measuring at least once in adulthood.
Apolipoprotein B (ApoB)
ApoB reflects total atherogenic particle burden. Especially useful when TG is elevated, patient has diabetes, or metabolic syndrome.
The LDL goal and recommendation update live in the banner above — click to build the documentation outputs (provider task, patient message, checklists)