Step 2: Presence of CHD

The existence of clinical atherosclerotic disease is a strong predictor of CHD events and therefore increases risk. Diabetes is considered a CHD risk equivalent because of its correlation with multiple risk factors and high risk of CHD development within 10 years.

Does your patient have CHD or any CHD risk equivalents?

	Clinical CHD
	Symptoms of carotid artery disease
	Peripheral arterial Disease
	Abdominal aortic aneurysm
	Diabetes
	Multiple risk factors that confer a greater than 20% CHD risk within 10 years