These are not Palm applications. They will run from the web, or they can be downloaded to your own computer and run from there as a web page. See the instructions hyperlink or the help button on the calculator on how to do this. There are 2 calculator versions, each based on Canadian Cardiovascular Society (CCS) algorithms, as these have the most relevance to Canadian patients. The algorithms derive the Framingham Risk Score (FRS). Decision support based on this score varies between guidelines:
The Standard CCS Calculator – Incorporates both CCS and Simplified Lipid Guidelines (New Version)
Based on the latest CCS guideline update in 2016 and the Simplified Lipid Guidelines published in 2015. Decision support is included for both because the CCS document retains LDL thresholds and targets, while the Simplified guidelines incorporate treatment based on risk. The latter have a much more solid evidence base.
Many people in primary prevention who have events are not identified by risk score, and may have normal LDL levels. Most of these people are obese, have diabetes or metabolic syndrome, and have many novel or low grade risk factors which put them at increased long term risk. Their numbers are increasing in our patient mix. Non-HDL cholesterol is helpful in establishing risk in these people. Recommended for obese and diabetic patients.
The AHA/ACC Framingham Calculator (Discontinued)
The Simplified Lipid Guidelines now provide an evidence based alternative to the CCS approach based on Framingham risk rather than lipid levels. There is no longer any need to reference an American document.