Heart Health

Open logic

Every rule behind your plan, one page each

When Heart Health tells someone to ask about a statin, or that a calcium scan would settle a question, it is because a rule fired. These are all of them. Each page shows the question, the answer that triggers it, the exact words a person who reaches it is told, and the guideline or trial behind it.

Nothing here is written separately from the product. Every page is generated from the running engine, so it cannot describe something the app does not do.

Rules published
67
Reviewed by a clinician
0 of 67
Sources cited
25

No rule has been signed off by a clinician yet. Until one has, treat every page here as our reading of the guidelines, not an endorsed one.

For clinicians: where a review helps most

The unreviewed rules that reach the most people. Each takes about five minutes: read what it says, then endorse it, propose a change, or dispute it.

  1. Low risk with a major risk enhancerDiscuss a statin anyway — the calculator under-weights these2 open questionsFewer than 5 people have reached this rule so far
  2. Calcium score above 0Treat now; the score sets the goal — any calcium → LDL <100, ≥100 → <70, ≥300 → <55 optional1 open questionFewer than 5 people have reached this rule so far
  3. GLP-1 for obesity aloneApproved for weight; cardiovascular benefit not yet proven in this group1 open questionFewer than 5 people have reached this rule so far
  4. Statin side effectsWhat to do about muscle aches before stopping, and what the evidence says about them1 open questionFewer than 5 people have reached this rule so far
  5. Low 10-year risk, high lifetime riskModerate-intensity statin reasonable; LDL-C <100Fewer than 5 people have reached this rule so far
  6. Low risk, nothing else on recordLifestyle is the treatment (see the meal & movement plan)Fewer than 5 people have reached this rule so far
  7. Higher-risk group above goalStart or intensify medicationFewer than 5 people have reached this rule so far
  8. Blood pressure between 130/80 and 140/90Lifestyle for 3–6 months; if still ≥130/80, start medication (Class I)Fewer than 5 people have reached this rule so far

Cholesterol

lib/engine/lipidPathway.ts

Whether a statin is indicated, how hard to push it, and which tests would settle it.

Blood pressure

lib/engine/bpPathway.ts

The target, and the reading at which medication starts.

Heart failure

lib/engine/heartFailurePathway.ts

Everything keys off ejection fraction.

Atrial fibrillation

lib/engine/afPathway.ts

How it was found, stroke risk, and whether to anticoagulate.

Lp(a)

lib/engine/lpaFlag.ts

An inherited risk factor measured once in a lifetime.

Weight and GLP-1 medication

lib/engine/glp1Pathway.ts

Three evidence tiers that are not the same claim.

Prevention essentials

lib/engine/preventionEssentials.ts

Aspirin, smoking, kidneys and the tests nearly everyone should have once.