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Lifestyle:

Lifetime ASCVD Risk:

Estimates of lifetime risk for ASCVD are provided for adults 20 through 59 years of age and are shown as the lifetime risk for ASCVD for a 50-year old without ASCVD who has the risk factor values entered at the initial visit. Because the primary use of these lifetime risk estimates is to facilitate the very important discussion regarding risk reduction through lifestyle change, the imprecision introduced is small enough to justify proceeding with lifestyle change counseling informed by these results.

Estimated 10 Year ASCVD Risk

At Initial Visit (without comparison to a previous visit): Calculated using the ACC/AHA 2013 Pooled Cohort Equation, which predict the absolute 10-year risk for an ASCVD for a patient with the profile entered at initial visit. This is the same as the previous version of the ASCVD Risk Estimator app.

At Follow-up visit (with comparison to a previous visit): Updated 10-year risk for ASCVD is a function of the initial visit risk, the follow-up age, and the interim change in therapies and risk factor levels, which are themselves a function of response to therapy and adherence. The confidence of the updated on-treatment risk estimate is improved by scaling the risk reduction to the amount of change in SBP or LDL-cholesterol or duration of smoking cessation. The values for the actual updated 10-year ASCVD risk estimate also have floor and ceiling values applied. The floor value is calculated as the predicted 10-year ASCVD risk for someone with optimal risk factor levels at the follow-up age. A patient’s 10-year risk at follow up will not be calculated to a value below this floor value. The ceiling value is the predicted 10-year ASCVD risk calculated from the actual updated risk factor profile, including use of medications.

Projected 10 Year ASCVD Risk on the Therapy Impact Tab
Numbers on Therapy Impact mode represent the projected 10-year ASCVD risk that would be associated with institution of specific preventive therapies as designated for each row by the scenarios selected by the user. These estimates are a function of the initial visit predicted 10-year risk from for the patient and the expected average relative risk reduction associated with a given therapy experienced by participants in randomized clinical trials, using systematic review data described in the original Million Hearts Longitudinal ASCVD Risk Assessment Tool manuscript. In instances where a therapy is not advised or relevant for a given patient based on the profile entered (smoking cessation for a patient who has never smoked), the forecasted risk for this therapy will be displayed as “NA”. See below for more information about individual therapies.

Systolic Blood Pressure and Blood Pressure Medications

LDL-C and Statin Therapy

Aspirin Use

Smokers and Smoking Cessation

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Individuals with SBP and DBP in 2 categories should be designated to the higher BP category.

Nonpharmacologic therapy interventions include weight loss; a heart healthy diet such as DASH; sodium reduction; potassium supplementation; increased physical activity; and moderation in alcohol consumption

For adults with confirmed hypertension and known CVD or greater than or equal to 10% 10-year ASCVD event risk, a BP target of less than 130/80 mm Hg is recommended. (Class I)

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Individuals with SBP and DBP in 2 categories should be designated to the higher BP category.

Nonpharmacologic therapy interventions include weight loss; a heart healthy diet such as DASH; sodium reduction; potassium supplementation; increased physical activity; and moderation in alcohol consumption

For adults with confirmed hypertension, without additional markers of increased CVD risk, a BP target of less than 130/80 mm Hg may be reasonable (Class IIb).

References

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The "2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk" provides clear recommendations for estimating cardiovascular disease risk. Risk assessments are extremely useful when it comes to reducing risk for cardiovascular disease because they help determine whether a patient is at high risk for cardiovascular disease, and if so, what can be done to address any cardiovascular risk factors a patient may have. Here are the highlights of the guideline:

Source: www.cardiosmart.org

Risk assessments are used to determine the likelihood of a patient developing cardiovascular disease, heart attack or stroke in the future. In general, patients at higher risk for cardiovascular disease require more intensive treatment to help prevent the development of cardiovascular disease.

Women everywhere can empathize with Mary. Some 4,000 years earlier, Jehovah had foretold that it would be the common lot of women to suffer pain during childbirth because of inherited sin. ( Genesis 3:16 ) There is no evidence to suggest that Mary was any exception. Luke’s account draws a discreet curtain of privacy around the scene, saying simply: “She gave birth to her son, the firstborn.” ( Delpozo Metallic Floral Pumps outlet fashion Style cheap sale cheapest price 3TqjTc
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It is at this point that the account adds a famous detail: “She bound him with cloth bands and laid him in a manger.” ( Luke 2:7 ) Nativity plays, paintings, and scenes around the world sentimentalize this setting. Consider, though, the reality. A manger is a feeding trough, a bin from which farm animals eat. The family was thus lodging in a stable, hardly a place to be noted for good air or hygiene​—then or now. Really, what parents would choose such a spot for childbirth if there were any other options? Most parents want the best for their children. How much more so did Mary and Joseph want to provide the best for the Son of God!

However, they did not let their limitations embitter them; they simply did the best they could with what they had. Notice, for instance, that Mary herself cared for the infant, wrapping him up snugly in cloth bands, then laying him carefully in the manger to sleep, ensuring that he would be warm and safe. Mary was not about to let anxiety over her present circumstances distract her from providing the best that she could. She and Joseph both knew, too, that caring spiritually for this child would be the most important thing they could do for him. ( cheap sale nicekicks clearance 2014 unisex Frye Womens Sacha Suede Short Boot 5DCOs6
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A Visit Brings Encouragement

A sudden commotion disturbed the peaceful scene. Shepherds rushed into the stable, eager to see the family and the child in particular. These men were bubbling over with excitement, their faces radiating joy. They had hurried in from the hillsides where they were living with their flocks. They told the wondering parents about a marvelous experience they had just had. On the hillside during the night watch, an angel had suddenly appeared to them. Jehovah’s glory had gleamed all around, and the angel told them that the Christ, or Messiah, had just been born in Bethlehem. They would find the child lying in a manger, swaddled in cloth bands. Then, something even more spectacular​—a mighty chorus of angels had appeared, singing of Jehovah’s glory!

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