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April 2016

The Pooled Cohort Risk Equations—Black Risk Matters

Author Affiliations
  • 1Department of Epidemiology, Colorado School of Public Health, Aurora
  • 2Division of Cardiology, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA Cardiol. 2016;1(1):12-14. doi:10.1001/jamacardio.2015.0323

Dating from the 27th Bethesda Conference1 in 1996, there has been a consensus in the preventive cardiology community that the intensity of preventive interventions should be matched to an individual’s absolute level of risk of development of atherosclerotic cardiovascular disease (ASCVD). This consensus was reflected in the adoption of the Framingham Risk Score (FRS) for estimating the 10-year risk of a hard coronary heart disease (CHD) event by the National Cholesterol Education Program’s 2001 Adult Treatment Panel (ATP III) in their executive summary2 and by the adoption of the Pooled Cohort risk equations (PCEs) for estimating the 10-year risk of a hard ASCVD event3 by the American College of Cardiology and the American Heart Association in their 2013 guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults.4