The AHA has licensed free use of their PREVENT materials, so I have incorporated the PREVENT ASCVD 10-year cardiac risk calculator.

first update to the STEPS Hyperlipidemia table since October, 2024, within app, see CV Risk tab > More Info > If you really want treatment guidance > STEPS criteria

1) updated discussion of LDL treat-to-target with more evidence for primary and secondary prevention 2) updated STEPS table for hyperlipidemia medications

Additional discussion mainly of the Medina-Inojosa ASCVD external validation study in JACC 2023, as well as more on race and more on PREVENT.

Updated with early discussion of the new PREVENT risk estimation tool, certainly more on this to come

1) Better "ⓘ more info" button for all the educational content in the app for students and residents. 2) New educational discussion on the generally high CV risk in the elderly and how to approach management, supported by evidence

Updated discussion on LDL targets.

Amended discussion of 2018 revised pooled cohort equations. Updated guidance and discussion of LDL targets based upon new evidence.

Updated discussion of validation of revised PCE equation.

Updated to include  - reference to Byrne et. al. JAMA IM systematic review and meta-analysis on modest absolute risk reductions from statin LDL reduction, and  - new STEPS table for hyperlipidemia treatment agents

1) improved one-click buttons to raise or lower age, cholesterol, HDL, systolic BP 2) fixed bug in how + and – buttons rendered by all-around improving their design

Now you can click a single button to add or subtract 5 or 10 points from age, cholesterol, blood pressure, and HDL to immediately see the impact of changing various risk factors. This is faster and less disruptive than invoking the numberpad keyboard to re-type new values as you talk to patients about how improvements in lipids or blood pressure or advancing years will impact their risk. Also fixed a small bug. If you leave age, cholesterol, etc. blank, the starting default number appears rather than crashing.

1) made default calculator 2013's ASCVD calculator, not Framingham, 'tho it's tempting to make Revised PCE '18 the default 2) made more-info discussions more readable (bigger font, better paragraph structure)