From Medscape Special Reports

Special Report: CV Risk Calculator and Guidelines Controversy

December 6, 2013

Experts Weigh In

Who's at Risk? A Defense of the CV Risk Calculator
heartwire News Editor, Shelley Wood, sits down with Dr Sidney Smith, to discuss the controversies surrounding the new CV risk calculator and its implications worldwide.

New AHA/ACC Guidelines -- More Than Just Cholesterol
Dr. Henry Black speaks with Dr. Michael Weber about the controversial new ACC/AHA cholesterol guidelines and what can be learned from them.

2013 Obesity/Lifestyle Guidelines: Something Old, Something New
Dr Melissa Walton Shirley weighs in on the new obesity and lifestyle guidelines and learns that reading guidelines is kind of like watching Hawaii Five-0.

How Do New Statin Guidelines Affect Diabetes Care?
Although the new guidelines make LDL targets unnecessary, Dr. Anne Peters believes they still may have a place in treating patients with diabetes.

Guidelines Update 'ATP-4' -- Finally!
Dr. Bilazarian gives his topline take on the new cholesterol, CV risk, and obesity guidelines.

Guidelines for the Digital Age
Dr. Harold discusses the practice-changing cholesterol guidelines and making guidelines more user-friendly in the digital age.


At Long Last, (Most) NHLBI Guidelines for CVD Released
A total of four separate NHLBI guidelines were released today covering cholesterol, obesity, CV risk assessment, and lifestyle in adults. Absent, still, is JNC-8.

New Cholesterol Guidelines Abandon LDL Targets
The new cholesterol guidelines identify four major groups of patients in whom statins should be used and recommend either moderate or intense statin therapy rather than treating to a specific goal.

New CV Risk-Assessment Guidance Counts Stroke With CHD Risk
The document released by the AHA and ACC promotes evaluation of both 10-year and lifetime risk; its revamped risk-prediction equations now account for variation by race and gender.

New ACC/AHA/NHLBI Guidance on Lifestyle for CVD Prevention
The fourth in the bundle of NHLBI-sponsored guidelines released today outlines recommendations for diet and physical activity in people with high LDL or elevated blood pressure.

How Good Is the New ACC/AHA Risk Calculator?
Is the new calculator for the assessment of the 10-year risk of cardiovascular disease flawed or does it work exactly as the authors of the risk-assessment guideline committee expected it to?

AHA/ACC/CDC Issue 'Science Advisory' on Treating BP
The new advisory is intended to complement and support clinical guidelines, as well as provide clinicians and health systems with the tools to improve the treatment and control of hypertension.

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Editor's Note

With 4 new CV guidelines released simultaneously, the controversy over the CV risk calculator and the sea-changing cholesterol guidelines dwarfed any discussion of the obesity and lifestyle guidelines. This collection of news and expert commentary reviews the issues to date, but expect more to follow in 2014.
–- Tricia Ward, Editorial Director, Cardiology