HealthACC/AHA 2013 Guidelines
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Gives recommendations based on the 2013 AHA/ACC guidelines for starting statin therapy.

               
Does the patient have diabetes?
YES
is their 10-year risk <7.5%?
NO
Start high-intensity statin therapy.
 
 

NO


NO






Have they previously had an ischemic event (ACS or ischemic stroke)?
YES
Start moderate-intensity statin therapy.
 
 
 

NO








Is their LDL>189?
YES
Start moderate-intensity statin therapy.
 
 
 

NO








Do they have a 10-year risk >7.5%?
YES
Start moderate-intensity statin therapy.
 
 
 

NO








Is clinical judgement still uncertain (i.e., questionable history of event, borderline LDL, or 10-year-risk near 7.5%)?
YES
Does coronary calcium score indicate significant disease?
YES
Start moderate-intensity statin therapy.
 
 

NO


NO






Do not start statin. Reassess in 5 years.
Does family history, CRP, or ABI indicate significant disease?
YES
Start moderate-intensity statin therapy.
 
 



NO






 
Do not start statin. Reassess in 5 years.