Heart Health

Low risk, nothing else on record

Age 30–59 with high lifetime risk, or a major risk enhancer (e.g. premature family history, South Asian ancestry) or elevated Lp(a)? No

Recommendationrisk-lowFewer than 5 people have reached this rule so far

Lifestyle is the treatment (see the meal & movement plan)

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.

  • Lifestyle first, medication is a shared decision

    Statin therapy is not routinely recommended at this risk level. Lifestyle is the treatment — see the meal and movement plan below.

    Expert guidelinesOfficial guidelines recommend it, based on trials plus expert judgment.

    ACC/AHAClass 1Level A
    Why, and the source

    Your estimated 10-year PREVENT ASCVD risk is 0.6%, below the 3% threshold where the guideline recommends considering statin therapy, and you have no risk-enhancing factors on record.

    Where the guidelines stand

    ACC/AHA (US)

    • RecommendsClass 1Level A

      The graded recommendation is health-behavior counseling at low risk. Not starting a statin follows from there being no graded recommendation to start one.

      2026 ACC/AHA/Multisociety Guideline on the Management of Dyslipidemia · Recommendation behind this rule · class and level read from the guideline tables on 2026-09-30

    2026 ACC/AHA/Multisociety Guideline on the Management of Dyslipidemia · Class 1 · Level A

An example person who reaches it

“Low risk, nothing flagged” — an illustrative profile, not a real user.

42-year-old womanBP 118/74LDL 10010-yr PREVENT-ASCVD 0.6%

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%
  3. Age 30–59 with high lifetime risk, or a major risk enhancer (e.g. premature family history, South Asian ancestry) or elevated Lp(a)?No ← this rule

Where it sits

Asked after: 10-year risk under 3%

Sources

Cited by the recommendations above.

Review this rule

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Runs in lib/engine/lipidPathway.ts as risk-low.