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Cardiovascular risk screening beyond the Australian Cardiovascular Risk calculator: A guide for general practitioners

Tarun Sen Gupta1, Chelsea Smith2, Andrew Mallett3

  • 1MBBS (Hons), General practice registrar, RACGP, Townsville, Qld; James Cook University, Townsville, Qld.

Australian Journal of General Practice
|March 5, 2026
PubMed

Insights

The Australian Cardiovascular Disease (AusCVD) Risk calculator is recommended for individuals over 45. Further screening tests can help refine cardiovascular disease risk assessment for better patient management.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Medical Diagnostics

Background:

  • Cardiovascular disease (CVD) is a leading global cause of death.
  • General practitioners (GPs) express concerns about the personalization of the Australian Cardiovascular Disease (AusCVD) Risk calculator.
  • Current practices may lead to inappropriate investigations for individualizing CVD risk.

Purpose of the Study:

  • To summarize indications, pros, and cons of various CVD screening tests.
  • To support GPs in managing patient CVD risk.
  • To enhance the personalization of CVD risk assessment.

Main Methods:

  • Literature review of CVD screening tests.
  • Analysis of the utility of the AusCVD Risk calculator.
  • Evaluation of diagnostic accuracy and clinical utility of different tests.

Main Results:

  • The AusCVD Risk calculator is recommended for all individuals aged 45 and above.
  • Coronary artery calcium scoring can aid in clarifying uncertain CVD risk.
  • For high-risk patients, tests like exercise stress tests, myocardial perfusion scans, and CT coronary angiography are beneficial.

Conclusions:

  • Routine screening with the AusCVD Risk calculator for individuals over 45 is advised.
  • Coronary artery calcium scoring can improve diagnostic precision in ambiguous cases.
  • Specific advanced imaging and functional tests are recommended for high-risk patients to guide specialist referrals.
Abstract

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