2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk
Why the study?
To prevent cardiovascular diseases, improve management through education and research, and develop guidelines that promote optimal patient care and cardiovascular health.
Key Points
- To present updated guidelines for assessing cardiovascular risk among adults.
- Developed evidence-based recommendations utilizing expert consensus and systematic reviews.
- Emphasized quantitative risk prediction models and the role of biomarkers in risk assessment.
- Highlighted lifestyle interventions and pharmacological strategies for managing elevated cardiovascular risk.
- The guideline recommends a revised calculator for cardiovascular risk which improves prediction accuracy.
- It specifies thresholds for initiating lifestyle changes and pharmacologic treatments based on risk levels.
PICO
P
Population
Cardiovascular diseases
Key expert perspectives
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“A risk calculator will never be perfect, but this is a huge step ahead from where we were 12 years ago. We made it better for women, for African Americans, and for white men, too. We feel very confident that we are in a great place now, but as more data become available, we're very happy to see if we can improve it further. You can certainly criticize the calculator, but I don't know of anything that's better.”
“This isn't some gimmick designed to push medicines on people. This is a patient-centered approach. It's designed to allow the physician his or her judgment, and [incorporate] the patient's preferences once the physician can show them the factors that may make a difference, and try to decide what path is best for them. I'd like to see more guidelines do that, as opposed to one-size-fits-all. It's the start of the risk conversation, not the end.”
“The truth is, the risk equations work exactly as we asked them to do. The question is: Are they the right populations? We selected populations that were representative of the U.S. in the mid-1990s.”
Implication
Guideline outlines cardiovascular risk assessment methods, indicating improved patient outcomes through adherence.
Abstract
Preamble and Transition to ACC/AHA Guidelines to Reduce Cardiovascular Risk S50 The goals of the American College of Cardiology (ACC) and the American Heart Association (AHA) are to prevent cardiovascular diseases (CVD); improve the management of people who have these diseases through professional education and research; and develop guidelines, standards, and policies that promote optimal patient care and cardiovascular health. Toward these objectives, the ACC and AHA have collaborated with the National Heart, Lung, and Blood Institute (NHLBI) and stakeholder and professional organizations to develop …
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Cite This Study
Goff et al. (2013) conducted a review in Cardiovascular diseases. The ACC and AHA collaborated with the NHLBI to develop guidelines for the assessment of cardiovascular risk to prevent cardiovascular diseases.