CV Risk Estimation2.3 - App Store

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.

Version History The AHA has licensed free use of their PREVENT materials, so I have incorporated the PREVENT ASCVD 10-year cardiac risk calculator. 2.3 12/07/2025 first update to the STEPS Hyperlipidemia table since October, 2024, within app, see CV Risk tab > More Info > If you really want treatment guidance > STEPS criteria 2.2.1 11/14/2025 1) updated discussion of LDL treat-to-target with more evidence for primary and secondary prevention
2) updated STEPS table for hyperlipidemia medications 2.2 10/15/2024 Additional discussion mainly of the Medina-Inojosa ASCVD external validation study in JACC 2023, as well as more on race and more on PREVENT. 2.1 03/29/2024 Updated with early discussion of the new PREVENT risk estimation tool, certainly more on this to come 2.0 03/08/2024 1) Better "ⓘ more info" button for all the educational content in the app for students and residents.
2) New educational discussion on the generally high CV risk in the elderly and how to approach management, supported by evidence 1.8 11/04/2023 Updated discussion on LDL targets. 1.7 07/16/2023 Amended discussion of 2018 revised pooled cohort equations.
Updated guidance and discussion of LDL targets based upon new evidence. 1.6 05/27/2023 Updated discussion of validation of revised PCE equation. 1.5 04/25/2023 Updated to include 
- reference to Byrne et. al. JAMA IM systematic review and meta-analysis on modest absolute risk reductions from statin LDL reduction, and 
- new STEPS table for hyperlipidemia treatment agents 1.4 04/01/2023 1) improved one-click buttons to raise or lower age, cholesterol, HDL, systolic BP
2) fixed bug in how + and – buttons rendered by all-around improving their design 1.3 07/31/2022 Now you can click a single button to add or subtract 5 or 10 points from age, cholesterol, blood pressure, and HDL to immediately see the impact of changing various risk factors. This is faster and less disruptive than invoking the numberpad keyboard to re-type new values as you talk to patients about how improvements in lipids or blood pressure or advancing years will impact their risk.

Also fixed a small bug. If you leave age, cholesterol, etc. blank, the starting default number appears rather than crashing. 1.2 07/28/2022 1) made default calculator 2013's ASCVD calculator, not Framingham, 'tho it's tempting to make Revised PCE '18 the default
2) made more-info discussions more readable (bigger font, better paragraph structure) 1.1 07/25/2022 1.0 07/11/2022