Nathaniel Lee, Paul C Lee MD. Cardiovascular Institute, Mount Sinai School of Medicine, New York.
Implement the new ACC/AHA 2013 Lipid guideline for treatment of cholesterol with the help of our app. We were the first free iPhone app for ASCVD risk calculation when the guideline was first published. We have made the app even more useful for clinicians.
The new guideline uses a new 10-year ASCVD (atherosclerotic cardiovascular disease) risk prediction tool called the Pooled Cohort Equation. This equation replaces the Framingham risk score used in previous guidelines. The new risk score is based on multiple community-based populations and is felt to be more robust.
In addition to calculating the score, the app helps you apply the guideline to your patient. The app provides specific guideline recommendations related to your patient based on the calculated risk.
To speed implementation, we provide a synopsis of the 2013 lipid guideline. There are links to the original guideline as well as journal articles discussing this important guideline.
Guideline flowcharts for clinicians have been redrawn based on careful reading of the guideline and extensive clinical experience using the new guideline.
The Consult Advisor enables user to quickly generate a model consult report based on the patient data, after calculation of the ASCVD risk. The report incorporates all four ACC/AHA 2013 prevention guidelines (cholesterol, hypertension, lifestyle, and obesity), in addition to JNC8 and American Society of hypertension guideline (2013).
Framingham Heart Age Clock (2008) is now included: this helps reinforce the effect of various risk factors and treatments. We found it makes patient education very impactful (e.g. for smokers resistant to cessation advice).
We created a set of patient education slides with links to videos to teach practical ways to accomplish lifestyle changes, based on the new ACC/AHA lifestyle guideline. We presented state-of-the-art tools from various government agencies to make our presentation "action-packed" (Special thanks to MyPlate.gov of USDA, NYC Department of Health, CDC, National Institute of Aging and NIDDK of NIH, and Department of Health and Human Services.)
Bring your clinical practice up-to-date with this new point of care tool.
Please do not hesitate to contact us with ideas or comments and concerns. You can email us at the support page.
Fixed a few major bugs including one where the user could not review guideline figures.
Calculator: Optional one page entry (setting) added.
iOS 6 interface has been changed to look more like iOS 7. We believe that this new interface will be more appealing to patients.
Heart Age Clock: Heart Age and older Framingham Risk (2008) automatically calculated for reference ONLY.
Consult Advisor: Based on patient's data, Consult Advisor's algorithm goes beyond the basic ASCVD calculator and uses additional inputs such as race, LDL, weight, calcium score and ethnic background to tailor a more refined but comprehensive analysis using all the recent cardiac prevention guidelines. The consult is output in a format that is useful for busy clinicians.
Patient Education Slides added, which gives a synopsis of various aspects of guidelines regarding ASCVD, Lifestyle, and Obesity.
Several bug fixes.
A lot of backend code has been rewritten for a more responsive interface.
Fixed a critical sporadic crash where the app would crash on launch. iOS 6 users were affected the most.
***** Do not upgrade if you have iOS6. We were notified of a compatibility issue. We are fixing it urgently now.
Added the new Consult Robot
The Consult Robot enables users to quickly generate a model consult report based on the patient's data. The report incorporates all four ACC/AHA 2013 prevention guidelines (cholesterol, hypertension, lifestyle, and obesity). We also incorporated recommendations from JNC8 and ASH/ISH guidelines for hypertension in the report.
Added guideline figures - We remade the figures based on extensive clinical experience and careful reading of the new guidelines.
Extended age range to satisfy the constraint of the equation.
As requested: now you only need to accept the disclaimer once instead of every single time. Thanks for the feedback!
Major: iOS 6 support added
Optimized calculation screens for quicker input
Defaulted NO for the values: Smoker, High blood pressure treatment, and Diabetic.
Updated information in recommendations and guidelines
Added drugs in recommendations
Fixed a few typos
Fixed a typo.
Fixed an error in the guideline synopsis where text was not showing correctly.
Resorted the table with all the entered data to the logical order of patient variables.
Improved application efficiency in processing patient variables.
Added SI (metric) units.
Ability to edit existing values added.
Ability to add results added.
Lifetime, lifetime optimal, and 10 year ASCVD optimal risk added.
Recommendations (with graphs) added.
Guideline synopsis updated for quicker navigation and more information added.