For this reason, the focus is not just on measuring and treating cholesterol, but identifying whether someone already has or is at risk for atherosclerotic cardiovascular disease (ASCVD) and could benefit from treatment. What should I do if I develop muscle aches or weakness after starting the statin? It is a useful representation of the effectiveness of a treatment[1] in providing benefit or in the harmfulness of exposure to a given condition or chemical. Am I on the best prevention program to minimize this risk? For purposes of this Section, "Force Majeure Event" means an event or series of events caused by or resulting from any of the following: (1) weather conditions or other elements of nature or acts of God; (2) government regulation; (3) quarantines or embargoes; (4) telecommunications, network, computer, server or Internet downtime; (5) unauthorized access to ACCF's information technology systems by third parties; or (6) any other causes beyond the reasonable control of ACCF. Risk assessments are calculated using a number of factors including age, gender, race, cholesterol and blood pressure levels, diabetes and smoking status, and the use of blood pressure-lowering medications. For adults with type 2 diabetes mellitus: - A tailored nutrition plan focusing on a heart-healthy dietary pattern is recommended to improve glycemic control, achieve weight loss (if needed), and improve other ASCVD risk factors (I, A). Neither failure nor delay on the part of any party to exercise any right, remedy, power or privilege hereunder nor course of dealing between the parties shall operate as a waiver thereof, or of the exercise of any other right, remedy, power or privilege. This is obviously incorrect, since NNT is an average related to the relative risk, not a dichotomous outcome. Over time, this plaque can harden and narrow the arteries. Whelton PK, Carey RM, Aronow WS, et al. - Patient preferences regarding the use of medications for primary prevention. Abdominal obesity is defined as having a waist circumference greater than 40 inches for a man or 35 inches for a woman. If you have, generally it is recommended that you discuss with your doctor about starting aspirin and a statin. (1995) "The number needed to treat: a clinically useful measure of treatment effect", British Medical Journal 310(6977):452–454, [2] Altman D.G. The "2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults" was created to reflect the latest research to outline best practices when it comes to treating obesity--a condition that affects more than one-third of American adults. 70% Was a Smoker at Previous Visit (or within a year before the visit)? However, conducting a more detailed 10-year risk assessment every 4-6 years is reasonable in adults ages 40-79 who are free of cardiovascular disease. The ASCVD Risk Estimator Plus has also expanded the guidance provided by including expert advice regarding blood pressure-lowering therapy, aspirin use, and smoking cessation, along with the original statin initiation recommendations. The Content on the Product is presented as an educational service intended for licensed healthcare professionals. The number needed to treat (NNT) is the estimated number of patients who need to be treated with the new treatment rather than the standard treatment (or no treatment) for one additional patient to benefit (Altman 1998). Every confidence interval is constructed based on a particular required confidence level, e.g. For all patients, appropriate lifestyle modification should be recommended. Use the information above to help with clinician-patient discussions on risk and risk-lowering interventions. - Burden and severity of CVD risk factors and control of these risk factors. Calculate your 10-year risk of heart disease or stroke using the ASCVD algorithm published in 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk. Presently, the best additional test to help reclassify ASCVD risk in these situations is measurement of a CAC score for decision-making regarding statin therapy. If you are having problems, your care provider needs to know to help manage any side effects and possibly switch you to a different statin.

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