Advanced Cardiology Clinical Decision Support

CARDIOLOGY Clinical Decision Support

Evidence-based clinical calculators with complete validation • Professional Edition

System Status: Operational • Guidelines: 2018-2022 AHA/ACC/ESC • Evidence Level: Class I-IIa • Validation: Complete

Patient Demographics

Laboratory Values & Clinical Data

Cardiovascular Risk Assessment

ASCVD Risk Calculator (Pooled Cohort Equations)

Evidence Level: Class I, Level A
Reference: 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline

Advanced BMI & Body Composition

Using patient demographics and advanced calculations

Framingham Risk Score (Complete)

2018 ACC/AHA Risk Stratification Guidelines

Low Risk (<5%): Lifestyle modifications, reassess in 4-6 years

Borderline Risk (5-7.5%): Consider risk enhancers and CAC score

Intermediate Risk (7.5-20%): Moderate-intensity statin recommended

High Risk (≥20%): High-intensity statin + lifestyle modifications

Advanced Diagnostic Support

HEART Score (Complete)

Evidence Level: Class IIa, Level B
Reference: Six AJ, et al. Chest 2008;133:284-292

Advanced QTc Calculator

Complete Wells Score for PE

Advanced Heart Failure Management

Complete Heart Failure Classification

Advanced ACE Inhibitor/ARB Dosing

Device Therapy Assessment

2022 AHA/ACC/HFSA Heart Failure Guidelines

HFrEF (EF ≤40%): ACE-I/ARB/ARNI + Beta-blocker + MRA + SGLT2i

HFmrEF (EF 41-49%): Consider HFrEF therapies based on clinical judgment

HFpEF (EF ≥50%): Treat comorbidities, consider SGLT2i

Comprehensive Acute Coronary Syndrome Tools

Complete TIMI Risk Score (STEMI)

Complete GRACE Risk Score 2.0

Complete HAS-BLED Score

2020 ESC Guidelines for Non-ST-Elevation ACS

Very High Risk (GRACE >140): Invasive strategy within 24 hours

High Risk (GRACE 109-140): Early invasive strategy within 72 hours

Low-Intermediate Risk (GRACE <109): Selective invasive strategy

Advanced Arrhythmia Management

Complete CHA2DS2-VASc Score

Age and sex automatically calculated from patient data

Atrial Fibrillation Management

Advanced Cardioversion Assessment

Advanced Medication Management

Drug Interaction Checker

Renal Dose Adjustments

Using eGFR from lab panel: 90 mL/min/1.73m²

Contraindication Checker

Emergency Cardiology Protocols

[ALERT] EMERGENCY PROTOCOLS - For educational purposes only. Always follow institutional protocols.

Advanced STEMI Recognition

Cardiogenic Shock Assessment

Hypertensive Crisis Management

2020 AHA ACLS Cardiac Arrest Algorithm

1. Initial Assessment & CPR

Check pulse and rhythm: Start high-quality CPR immediately if no pulse

CPR quality: 100-120 compressions/min, 2-2.4 inches depth, minimize interruptions

2. Shockable Rhythms (VF/pVT)

Defibrillation: 120-200J biphasic (or manufacturer recommendation)

Medications: Epinephrine 1mg IV/IO q3-5min after 2nd shock

Anti-arrhythmic: Amiodarone 300mg IV/IO (150mg for 2nd dose)

3. Non-Shockable Rhythms (Asystole/PEA)

CPR: High-quality CPR for 2 minutes

Epinephrine: 1mg IV/IO q3-5min (as soon as feasible)

Advanced airway: Consider after initial interventions

4. Reversible Causes (H's and T's)

H's: Hypovolemia, Hypoxia, Hydrogen ions (acidosis), Hypo/hyperkalemia, Hypothermia

T's: Tension pneumothorax, Tamponade (cardiac), Toxins, Thrombosis (pulmonary/coronary)