Heart Health

hs-CRP below 2

hs-CRP ≥2 mg/L, confirmed on a repeat test? (further testing beyond basic labs) No

Recommendationhscrp-not-elevatedNo one has reached this rule yet

Doesn't add support for starting a statin on its own

Clinical review

All reviewers

No clinician has signed off this rule yet. It reflects our reading of the guidelines cited below, which has not been independently checked.

What someone who reaches this rule is told

Word for word, as generated for the example person below. Figures in the text are theirs.

  • Informational

    Your hs-CRP (1.1 mg/L) is below 2 mg/L, so it doesn't add support for a statin on its own — the decision rests on your calculated risk and the other factors above.

    hs-CRP counts toward treatment only at 2 mg/L or above, confirmed on a repeat test with no identifiable cause such as a recent infection. Below that it neither argues for a statin nor against one.

    Guideline consensusRecommended by the guideline writing committee, drawing on trials plus expert judgement where trials run out.· checked 2026-09-12

    2026 ACC/AHA/Multisociety Guideline on the Management of Dyslipidemia · Informational

An example person who reaches it

“Borderline risk, calcium score of zero” — an illustrative profile, not a real user.

57-year-old manBP 128/80LDL 138calcium score 0hs-CRP 1.110-yr PREVENT-ASCVD 4.0%

Their path through cholesterol

  1. Known ASCVD (prior heart attack, stroke, or revascularization)?No
  2. Your situation (severe hypercholesterolemia short-circuits the risk score)10-yr risk 3–5% (borderline)
  3. A risk-enhancing factor that counts? (weighted — a single unconfirmed hs-CRP does not count until repeated)None on record
  4. Coronary artery calcium (CAC) score? (further testing beyond basic labs)0, and no risk-enhancing factors
  5. hs-CRP ≥2 mg/L, confirmed on a repeat test? (further testing beyond basic labs)No ← this rule

Where it sits

Asked after: 10-year risk 3% to under 5%

Sources

Cited by the recommendations above.

Review this rule

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Runs in lib/engine/lipidPathway.ts as hscrp-not-elevated.