Physicians' Academy for Cardiovascular Education

The ACC/AHA criteria for identification of very high-risk CVD patients have limited discriminative power

Identification of vascular patients at very high risk for recurrent cardiovascular events: validation of the current ACC/AHA very high risk criteria

Literature - van den Berg MJ, Bhatt DL, Kappelle LJ, et al. - Eur Heart J. 2017; published online ahead of print

Main results


In the SMART study and the REACH registry, single very high risk factors or simple criteria, such as the ACC/AHA VHR criteria, had limited discriminative power to identify patients at highest risk of recurrent MACE. These findings suggest that there is a need to improve the identification of very high-risk patients in the secondary CVD prevention.


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Find this article online at Eur Heart J

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