PREVENT Score — AHA 2023 Cardiovascular Risk Prediction

The PREVENT (Predicting Risk of CVD Events) equations are the 2023 American Heart Association replacement for the 2013 Pooled Cohort Equations (PCE) for 10-year primary cardiovascular risk prediction in adults. PREVENT was derived from 6.6 million U.S. adults in diverse contemporary cohorts. Key improvements over PCE: (1) Broader outcome composite (total CVD = atherosclerotic CVD + heart failure + atrial fibrillation; plus separate 10-year ASCVD equation); (2) Incorporation of eGFR and metabolic syndrome syndrome variables; (3) Better calibration in Black, Hispanic, and non-White populations; (4) No longer sex-specific; (5) Optional incorporation of urine ACR for further refinement.