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Oral Antihypertensive Drug Dosing and Usage Recommendations to Monitor Response to LDL-C Lowering Therapyĭiscussion Checklist for Therapy Initiation LDL-C Treatment Suggestions for Younger Patients Secondary Prevention - Patients with Clinical ASCVD General Populations Recommendation Summary Key Points from 2018 Cholesterol Guideline It is reasonable to measure waist circumference to identify those at higher cardiometabolic risk (IIa, B-NR).Ĭlass of Recommendation and Level of Evidence Table Calculating body mass index is recommended annually or more frequently to identify overweight and obese adults for weight loss considerations (I, C-EO). Counseling and comprehensive lifestyle interventions, including calorie restriction, are recommended for achieving and maintaining weight loss (I, B-R). Weight loss is recommended to improve the ASCVD risk-factor profile (I, B-R). Standing is a sedentary activity in that it involves ≤1.5 METs, but is not considered a component of sedentary behavior mph indicates miles per hour *Sedentary behavior is defined as any waking behavior characterized by an energy expenditure ≤1.5 metabolic equivalents (METs), while in a sitting, reclining, or lying posture. Jogging/running, biking ≥10mph, singles tennis, swimming laps Walking slowly, cooking, light house workīrisk walking (2.4-4mph), biking 5-9mph, ballroom dancing, active yoga, recreational swimming Engaging in some moderate or vigorous intensity physical activity, even if less than this recommended amount, can be beneficial to reduce ASCVD risk (IIa, B-NR). Decrease sedentary behavior (IIb, C-LD).įor adults unable to meet the minimum physical activity recommendations: This includes adults with type 2 diabetes mellitus (I, A).

Engage in at least 150 minutes per week of accumulated moderate intensity or 75 minutes per week of vigorous intensity aerobic physical activity (or an equivalent combination of moderate and vigorous activity) (I, B-NR). Be routinely counseled to optimize a physically active lifestyle (I, B-R). A tailored nutrition plan focusing on a heart-healthy dietary pattern is recommended to improve glycemic control, achieve weight loss (if needed), and improve other ASCVD risk factors (I, A). Minimizing the intake of trans fats, processed meats, refined carbohydrates, and sweetened beverages as part of a heart healthy diet is reasonable (IIa, B-NR).įor adults with type 2 diabetes mellitus: Replacement of saturated fat with dietary mono- and poly-unsaturated fats can be beneficial (IIa, B-NR). A diet containing reduced amounts of cholesterol and sodium can be beneficial (IIa, B-NR). A diet emphasizing intake of vegetables, fruits, legumes, nuts, whole grains, and fish is recommended (I, B-R). See the “About” 'About the App' screen in this app for a definition of terms and additional instructions. Use the information above to help with clinician-patient discussions on risk and risk-lowering interventions.

Follow up risk incorporates change in risk factor levels over time and requires both initial and follow up values.

Reassess ASCVD risk at follow-up visits.

Forecast the potential impact of different interventions on patient risk.

Estimate patient’s 10-year ASCVD risk at an initial visit to establish a reference point.

The Agreement is subject to change from time to time, and your continued use of the Product constitutes your acceptance of and agreement to be bound by any revised terms of the Agreement. If you do not accept the terms and conditions of the Agreement, you may not proceed to use the Product. By using the Product, you accept and agree to be bound by all of the terms and conditions set forth in the Agreement, including such disclaimers and releases. The Agreement includes, among other detailed terms and conditions, certain disclaimers of warranties by the American College of Cardiology Foundation (“ACCF”) and requires the user to agree to release ACCF from any and all liability arising in connection with your use of the Product.

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Welcome to the ASCVD Risk Estimator Plus Terms of ServiceĬlick the Terms tab at the bottom of the app before using the ASCVD Risk Estimator Plus (“the Product”) to read the full Terms of Service and License Agreement (the “Agreement”) which governs the use of the Product.