# Risk Assessment Tool {: .no_toc } Interactive tool for risk category assignment based on the 2026 ACC/AHA Guidelines and The Sandusky Dyslipidemia Model advanced tools framework. See [04 — Risk Stratification](/clinical/04-risk-stratification.html) for full documentation. **Disclaimer:** This tool is for clinical decision support only. All outputs should be interpreted in the context of the individual patient. No data is transmitted or stored. {: .warning }

Step 1: Established ASCVD

Does the patient have established atherosclerotic cardiovascular disease?

(Prior MI, ACS, stroke/TIA with carotid stenosis, PAD, coronary revascularization, carotid endarterectomy/stenting)

-- Select -- Yes No

Step 2: LDL-C Level

Current or untreated LDL-C (mg/dL):

Step 3: PREVENT 10-Year Risk

10-Year ASCVD Risk from PREVENT Calculator (%):

Use the PREVENT Calculator to compute this value.

Step 4: Diabetes Status

Does the patient have diabetes with additional risk factors? -- Select -- No diabetes or diabetes without additional risk factors Diabetes WITH additional risk factors

Step 5: Risk Enhancers

Check all that apply:

Family history of premature ASCVD (male < 55, female < 65) Persistently elevated LDL-C ≥ 160 mg/dL Metabolic syndrome Chronic kidney disease (eGFR 15–59) Chronic inflammatory condition (RA, SLE, psoriasis, HIV) Premature menopause (< 40 years) Preeclampsia / pregnancy-associated hypertensive disorder South Asian ancestry Elevated Lp(a) ≥ 125 nmol/L Elevated ApoB (discordant with LDL-C) Ankle-brachial index < 0.9

Step 6: Advanced Tools (Optional)

CAC Score (Agatston Units): -- Not available -- 0 (No coronary calcium) 1–99 (Mild) 100–299 (Moderate) 300–999 (Extensive) ≥ 1000 (Very extensive)

ApoB Status (relative to risk-appropriate target): -- Not available -- Below target Above target

Assessment Result

--- ## Version History | Version | Date | Description | |:--------|:-----|:------------| | 1.0.0 | 2026-03-30 | Initial release |