EPIRxISK

EPI·R_xISK™ CARDIOVASCULAR RISK CALCULATOR

Welcome! This is the cardiovascular risk calculator that was used in the Alberta R_xEACH and developed by EPICORE Centre.

This calculator is intended as a tool to assess cardiovascular risk and engage patients in managing their risk factors. It uses 4 different risk engines depending on the patient's medical history i.e. if he/she has diabetes, vascular disease, chronic kidney disease or none of those conditions. In the case where more than 1 risk engine could be used (e.g., patient has diabetes and vascular disease), the system will default to use the risk engine generating the highest risk.

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STEP 1

Enter as many of the patient background information and labs assessment as you can.

STEP 2

The system will choose the most appropriate risk engine based upon the information that you enter.

STEP 3

The system will give you an estimated risk of a major cardiovascular event in the next 10 years and the contribution of each risk factor to the overall cardiovascular risk.

STEP 4

Use the sliders to modify the risk factor(s) to show patients how risk factor modification can improve cardiovascular risk.

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References

Tsuyuki RT, Al Hamarneh YN, Jones CA, Hemmelgarn BR. Effectiveness of Community Pharmacist Prescribing and Care on Cardiovascular Risk Reduction: Randomized Controlled RxEACH Trial. Journal of the American College of Cardiology (2016), doi: 10.1016/j.jacc.2016.03.528.

Stevens RJ, Kothari V, Adler AI, Stratton IM, Holman RR. The UKPDS risk engine: a model for the risk of coronary heart disease in type 2 diabetes (UKPDS 56). Clin Sci 2001; 101: 671-9.

Dorresteijn JAN, Visseren FLJ, Wassink AMJ et al. Development and validation of a prediction rule for recurrent vascular events based on a cohort study in patients with arterial disease: the SMART risk score. Heart 2013; 99:866-872.

D’Agostino RB, Vasan RS, Pencina MJ et al. General cardiovascular risk profile for use in primary care: The Framingham heart study. Circulation 2008; 117:743-53.

Disclaimer

This tool is provided for educational purposes and should not replace sound clinical judgment. While the authors have tested the tool and used it in the RxEACH study, the authors take no responsibility for results or outcomes resulting from your use of it. Authors: Yazid N. Al Hamarneh, BSc(Pharm), PhD; Ross T. Tsuyuki, BSc(Pharm), PharmD, MSc, FCSHP, FACC; Charlotte A Jones, MD, PhD, FRCHP(C); Brenda R. Hemmelgarn, MD, PhD, FRCP(C).

Acknowledgements

Support for the development of this risk calculator was provided by Alberta Health Services (Cardiovascular Health and Stroke Strategic Clinical Network) and Merck Canada.