ASCVD means atherosclerotic cardiovascular disease, or in other words, a failing heart.
ASCVD, or atherosclerotic cardiovascular disease, is caused by plaque buildup in arterial walls and refers to the following conditions:
• Coronary heart disease (CHD), such as myocardial infarction, angina, and coronary artery stenosis > 50%.
• Cerebrovascular disease, such as transient ischemic attack, ischemic stroke, and carotid artery stenosis > 50%.
• Peripheral artery disease, such as claudication.
• Aortic atherosclerotic disease, such as abdominal aortic aneurysm and descending thoracic aneurysm.
Primary prevention refers to the effort to prevent or delay the onset of ASCVD.
Secondary prevention refers to the effort to treat known, clinically significant ASCVD, and to prevent or delay the onset of disease manifestations.
Using a few simple tests that we commonly get during routine testing – we are able to actually predict the likely hood of dying in the next 10 years. Those four things are:
The 10-year calculated ASCVD risk is a quantitative estimation of absolute risk based upon data from representative population samples.
The 10-year risk estimate for “optimal risk factors” is represented by the following specific risk factor numbers for an individual of the same age, sex and race: Total cholesterol of ≤ 170 mg/dL, HDL-cholesterol of ≥ 50 mg/dL, untreated systolic blood pressure of ≤ 110 mm Hg, no diabetes history, and not a current smoker.
While the risk estimate is applied to individuals, it is based on group averages.
Just because two individuals have the same estimated risk does not mean that they will or will not have the same event of interest.
Example: If the 10-year ASCVD risk estimate is 10%, this indicates that among 100 patients with the entered risk factor profile, 10 would be expected to have a heart attack or stroke in the next 10 years.