ASCVD 10-Year Risk (Pooled Cohort Equations)
Estimated 10-year risk of a first ASCVD event.
What is ASCVD 10-Year Risk (Pooled Cohort Equations)?
Estimated 10-year risk of a first ASCVD event. ASCVD 10-Year Risk is intended for use in: Adults 40-79 years without known ASCVD.
How to Use the ASCVD 10-Year Risk Calculator
- Enter Age in years.
- Enter Sex.
- Enter Race.
- Enter Total cholesterol in mg/dL.
- Enter HDL cholesterol in mg/dL.
- Enter Systolic BP in mmHg.
- Enter On blood pressure medication.
- Enter Current smoker.
- Enter Diabetes.
- Click Calculate to see your result and interpretation.
Formula & Version
This calculator uses formula version 1.0, last reviewed September 2026.
Clinical Considerations & Limitations
- Validated for non-Hispanic White and Black adults aged 40-79 without prior ASCVD; performs less well in other race/ethnicity groups, and this tool falls back to White coefficients for "Other" as an approximation only.
- Newer pooled-cohort recalibrations (e.g. AHA PREVENT 2023) exist and may be preferred going forward.
- Coefficients independently re-verified against the 2013 ACC/AHA Pooled Cohort Equations (Goff 2014, Circulation supplemental Table A) during the STEP 4 QA review — all four sex/race coefficient sets match exactly.
References
- Goff DC Jr et al., Circulation 2014;129(25 Suppl 2):S49-S73 (2013 ACC/AHA Pooled Cohort Equations)
Frequently Asked Questions
What is ASCVD 10-Year Risk (Pooled Cohort Equations)?
Estimated 10-year risk of a first ASCVD event.
Who is ASCVD 10-Year Risk intended for?
Adults 40-79 years without known ASCVD. Always confirm applicability to your specific patient before use.
What are the limitations of ASCVD 10-Year Risk?
Validated for non-Hispanic White and Black adults aged 40-79 without prior ASCVD; performs less well in other race/ethnicity groups, and this tool falls back to White coefficients for "Other" as an approximation only. Newer pooled-cohort recalibrations (e.g. AHA PREVENT 2023) exist and may be preferred going forward. Coefficients independently re-verified against the 2013 ACC/AHA Pooled Cohort Equations (Goff 2014, Circulation supplemental Table A) during the STEP 4 QA review — all four sex/race coefficient sets match exactly.
What formula or reference does ASCVD 10-Year Risk use?
Goff DC Jr et al., Circulation 2014;129(25 Suppl 2):S49-S73 (2013 ACC/AHA Pooled Cohort Equations)
Is ASCVD 10-Year Risk a diagnosis?
No. ASCVD 10-Year Risk produces a score or estimate to support clinical decision-making — it is not a diagnosis and should be interpreted alongside full clinical judgement.
