Key result
AusCVD Risk calculator screening with CAC and advanced imaging improves CVD risk assessment over age 45.
This guide outlines a stepwise approach for general practitioners to assess cardiovascular risk using the AusCVD calculator, CAC scoring, and advanced imaging.
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Supports stepwise AusCVD+CAC screening for adults >45 in primary care; extends traditional calculators with selective advanced imaging.
We recommend that everyone above the age of 45 is screened with the AusCVD Risk calculator. If the patient's CVD risk is in doubt, a coronary artery calcium score may assist in sharpening the diagnosis. For those at high-risk, an exercise stress test, myocardial perfusion scan or computed tomography (CT) coronary angiography may be useful (provided they are conducted in safe environments) to determine the patients who require referral for specialist assessment.
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Gupta et al. (2026) conducted a review in Cardiovascular risk. AusCVD Risk calculator screening was evaluated. Screening with the AusCVD Risk calculator is recommended for individuals over 45, with coronary artery calcium scoring or stress testing useful for refining risk and guiding specialist referral.
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