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Reviewing the history of major CV events and presence of high-risk conditions determines if your patients with ASCVD are at very high risk.2
MULTIPLE MAJOR EVENTS
TWo or More of these:
Recent ACS
(within 12 months)
Symptomatic PAD
Stroke
Myocardial infarction
1 Major EVENT + multiple
HIGH-RISK CONDITIONS
One of these:
Recent ACS
(within 12 months)
Symptomatic PAD
Stroke
Myocardial infarction
And two or more of these:
Age 65+
History of CABG or PCI
(outside of the major ASCVD event)
CKD
(eGFR 15-59 mL/min/1.73 m2)
Diabetes
HeFH
Hypertension
History of CHF
Current smoker
Persistently elevated LDL-C (≥ 100 mg/dL)
despite maximally tolerated statin and ezetimibe
ACS = acute coronary syndrome; ASCVD = atherosclerotic cardiovascular disease; CABG = coronary artery bypass graft; CHF = congestive heart failure; CKD = chronic kidney disease; eGFR = estimated glomerular filtration rate; HeFH = heterozygous familial hypercholesterolemia; PAD = peripheral artery disease; PCI = percutaneous coronary intervention.
