ASCVD 10-Year Risk Calculator
This estimates your 10-year risk of a first hard atherosclerotic cardiovascular event (heart attack, coronary death, or stroke) using the ACC/AHA Pooled Cohort Equations. It is validated for adults aged 40 to 79 who identify as White/Other or African American, and it is an estimate, not a diagnosis.
| Result | Interpretation |
|---|---|
| Below 5% | Low risk |
| 5% to 7.5% | Borderline risk |
| 7.5% to 20% | Intermediate risk |
| 20% and above | High risk |
Source: Goff DC, Lloyd-Jones DM, et al. 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk. Circulation 2014;129(25 Suppl 2):S49-S73. (doi:10.1161/01.cir.0000437741.48606.98)
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FAQs
What does the ASCVD risk score estimate?
It estimates your 10-year risk of a first hard atherosclerotic cardiovascular event, meaning a heart attack, coronary death, or stroke. It uses the 2013 ACC/AHA Pooled Cohort Equations, which are validated for adults aged 40 to 79.
How are the risk categories defined?
A 10-year risk under 5 percent is low, 5 to 7.4 percent is borderline, 7.5 to 19.9 percent is intermediate, and 20 percent or more is high. These thresholds help guide conversations about statin therapy and other prevention.
What are the limits of this calculator?
The Pooled Cohort Equations were derived in White and African American populations and may over or under estimate risk in other groups. They are an estimate to support a discussion with your physician, not a diagnosis, and they do not replace measures such as a coronary artery calcium score where appropriate.