67trust / 100

Calc Ascvd Vhr

x402 APIFailing, checked 51 min ago

AHA/ACC 2018 Table 4 very high-risk ASCVD for known clinical ASCVD. Very high-risk if ≥2 major events (recent ACS, prior MI, ischemic stroke, symptomatic PAD) or 1 major event and ≥2 high-risk conditions (age ≥65, heterozygous FH, CABG/PCI outside those events, diabetes, hypertension, CKD eGFR 15-59, current smoking, LDL-C ≥100 on max statin and ezetimibe, congestive HF). Not PCE. Not a statin, ezetimibe, or PCSK9 order. magent does not diagnose ASCVD or measure ABI or LDL-C.

POST

https://api.magentlab.com/api/calc/ascvd_vhr

Price: $0.007; per call in USDC
Uptime: 88.9%; last 30 days
Response time: 180 ms; 737 ms slowest 5%
Last check: Failed; 51 min ago, next in 11 min

Run a free test call How to call it

Reliability

All checks passedSome failedAll failedNot checked

Latest check failed 51 min ago: Timed out

Status and outage history · Atom feed · Watch with other listings

How to call it

POST https://api.magentlab.com/api/calc/ascvd_vhr

Each call costs $0.007 in USDC on Base, paid with the request over x402.

Run a free test callOne unpaid request, the way an agent sends it. You see the payment challenge it gets back. Nothing is charged.

Example request

From the listing.

POST https://api.magentlab.com/api/calc/ascvd_vhr
content-type: application/json

{
  "items": [
    {
      "age": 70,
      "ckd_egfr_15_to_59": false,
      "congestive_hf": false,
      "current_smoking": false,
      "diabetes": true,
      "heterozygous_fh": false,
      "history_mi": true,
      "hypertension": false,
      "ischemic_stroke": false,
      "ldl_c_ge_100_on_max_statin_ezetimibe": false,
      "prior_cabg_or_pci_outside_major": false,
      "recent_acs": false,
      "symptomatic_pad": false
    },
    {
      "age": 70,
      "ckd_egfr_15_to_59": false,
      "congestive_hf": false,
      "current_smoking": false,
      "diabetes": true,
      "heterozygous_fh": false,
      "history_mi": true,
      "hypertension": false,
      "ischemic_stroke": false,
      "ldl_c_ge_100_on_max_statin_ezetimibe": false,
      "prior_cabg_or_pci_outside_major": false,
      "recent_acs": false,
      "symptomatic_pad": false
    }
  ]
}

Parameters

Parameter	Type	Required	Description
`items`	array of object	Yes

Example response

The provider's example. We can't check it without paying.

Example response, 152 lines

{
  "count": 2,
  "items": [
    {
      "age": 70,
      "citation": {
        "authors": "Grundy SM, Stone NJ, Bailey AL, et al.",
        "doi": "10.1161/CIR.0000000000000625",
        "id": "grundy-2018-aha-acc-cholesterol",
        "pmid": "30586774",
        "source": "Circulation. 2019;139(25):e1082-e1143",
        "title": "2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol"
      },
      "classifying_rule": "one_major_and_multiple_high_risk_conditions",
      "criteria": [
        {
          "factor": "recent_acs",
          "met": false
        },
        {
          "factor": "history_mi",
          "met": true
        },
        {
          "factor": "ischemic_stroke",
          "met": false
        },
        {
          "factor": "symptomatic_pad",
          "met": false
        },
        {
          "factor": "age_ge_65",
          "met": true,
          "value": 70
        },
        {
          "factor": "heterozygous_fh",
          "met": false
        },
        {
          "factor": "prior_cabg_or_pci_outside_major",
          "met": false
        },
        {
          "factor": "diabetes",
          "met": true
        },
        {
          "factor": "hypertension",
          "met": false
        },
        {
          "factor": "ckd_egfr_15_to_59",
          "met": false
        },
        {
          "factor": "current_smoking",
          "met": false
        },
        {
          "factor": "ldl_c_ge_100_on_max_statin_ezetimibe",
          "met": false
        },
        {
          "factor": "congestive_hf",
          "met": false
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "formula": "ascvd_vhr",
      "formula_expression": "very_high_risk iff major_event_count ≥ 2 or (major_event_count = 1 and high_risk_condition_count ≥ 2) (AHA/ACC 2018 Table 4 / Figure 1). Major events (caller-assigned): recent ACS within 12 months; history of MI other than that recent ACS; history of ischemic stroke; symptomatic PAD (claudication with ABI <0.85, or prior revascularization or amputation). High-risk conditions: age ≥65 years; heterozygous familial hypercholesterolemia; prior CABG or PCI outside the major ASCVD event(s); diabetes mellitus; hypertension; CKD (eGFR 15–59 mL/min/1.73 m²); current smoking; persistently elevated LDL-C ≥100 mg/dL (≥2.6 mmol/L) despite maximally tolerated statin and ezetimibe; history of congestive HF. Not PCE 10-year risk. Not a statin, ezetimibe, or PCSK9 order. magent does not diagnose ASCVD or measure ABI or LDL-C",
      "high_risk_condition_count": 2,
      "major_event_count": 1,
      "very_high_risk": true
    },
    {
      "age": 70,
      "citation": {
        "authors": "Grundy SM, Stone NJ, Bailey AL, et al.",
        "doi": "10.1161/CIR.0000000000000625",
        "id": "grundy-2018-aha-acc-cholesterol",
        "pmid": "30586774",
        "source": "Circulation. 2019;139(25):e1082-e1143",
        "title": "2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol"
      },
      "classifying_rule": "one_major_and_multiple_high_risk_conditions",
      "criteria": [
        {
          "factor": "recent_acs",
          "met": false
        },
        {
          "factor": "history_mi",
          "met": true
        },
        {
          "factor": "ischemic_stroke",
          "met": false
        },
        {
          "factor": "symptomatic_pad",
          "met": false
        },
        {
          "factor": "age_ge_65",
          "met": true,
          "value": 70
        },
        {
          "factor": "heterozygous_fh",
          "met": false
        },
        {
          "factor": "prior_cabg_or_pci_outside_major",
          "met": false
        },
        {
          "factor": "diabetes",
          "met": true
        },
        {
          "factor": "hypertension",
          "met": false
        },
        {
          "factor": "ckd_egfr_15_to_59",
          "met": false
        },
        {
          "factor": "current_smoking",
          "met": false
        },
        {
          "factor": "ldl_c_ge_100_on_max_statin_ezetimibe",
          "met": false
        },
        {
          "factor": "congestive_hf",
          "met": false
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "formula": "ascvd_vhr",
      "formula_expression": "very_high_risk iff major_event_count ≥ 2 or (major_event_count = 1 and high_risk_condition_count ≥ 2) (AHA/ACC 2018 Table 4 / Figure 1). Major events (caller-assigned): recent ACS within 12 months; history of MI other than that recent ACS; history of ischemic stroke; symptomatic PAD (claudication with ABI <0.85, or prior revascularization or amputation). High-risk conditions: age ≥65 years; heterozygous familial hypercholesterolemia; prior CABG or PCI outside the major ASCVD event(s); diabetes mellitus; hypertension; CKD (eGFR 15–59 mL/min/1.73 m²); current smoking; persistently elevated LDL-C ≥100 mg/dL (≥2.6 mmol/L) despite maximally tolerated statin and ezetimibe; history of congestive HF. Not PCE 10-year risk. Not a statin, ezetimibe, or PCSK9 order. magent does not diagnose ASCVD or measure ABI or LDL-C",
      "high_risk_condition_count": 2,
      "major_event_count": 1,
      "very_high_risk": true
    }
  ],
  "path": "/api/calc/ascvd_vhr"
}

Call it from code

The curl command shows the payment challenge. The JavaScript and Python versions pay and call, and never pay more than $0.007.

curl: see the payment challenge

# bash or zsh: see the payment challenge. Nothing is charged.
curl -sS -g -i -X POST 'https://api.magentlab.com/api/calc/ascvd_vhr' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"age":70,"ckd_egfr_15_to_59":false,"congestive_hf":false,"current_smoking":false,"diabetes":true,"heterozygous_fh":false,"history_mi":true,"hypertension":false,"ischemic_stroke":false,"ldl_c_ge_100_on_max_statin_ezetimibe":false,"prior_cabg_or_pci_outside_major":false,"recent_acs":false,"symptomatic_pad":false},{"age":70,"ckd_egfr_15_to_59":false,"congestive_hf":false,"current_smoking":false,"diabetes":true,"heterozygous_fh":false,"history_mi":true,"hypertension":false,"ischemic_stroke":false,"ldl_c_ge_100_on_max_statin_ezetimibe":false,"prior_cabg_or_pci_outside_major":false,"recent_acs":false,"symptomatic_pad":false}]}'

# x402 v2 sends the challenge base64-encoded in the PAYMENT-REQUIRED header (v1 sends it in the body).
# To read the header:
curl -sS -g -o /dev/null -D - -X POST 'https://api.magentlab.com/api/calc/ascvd_vhr' \
  -H 'content-type: application/json' \
  --data-raw '{"items":[{"age":70,"ckd_egfr_15_to_59":false,"congestive_hf":false,"current_smoking":false,"diabetes":true,"heterozygous_fh":false,"history_mi":true,"hypertension":false,"ischemic_stroke":false,"ldl_c_ge_100_on_max_statin_ezetimibe":false,"prior_cabg_or_pci_outside_major":false,"recent_acs":false,"symptomatic_pad":false},{"age":70,"ckd_egfr_15_to_59":false,"congestive_hf":false,"current_smoking":false,"diabetes":true,"heterozygous_fh":false,"history_mi":true,"hypertension":false,"ischemic_stroke":false,"ldl_c_ge_100_on_max_statin_ezetimibe":false,"prior_cabg_or_pci_outside_major":false,"recent_acs":false,"symptomatic_pad":false}]}' \
  | grep -i '^payment-required:' | cut -d' ' -f2 | tr -d '\r' | base64 --decode

JavaScript: pay and call

// npm i @x402/fetch @x402/evm viem
import { wrapFetchWithPayment, x402Client } from "@x402/fetch";
import { registerExactEvmScheme } from "@x402/evm/exact/client";
import { privateKeyToAccount } from "viem/accounts";

// Pays at most $0.007 per call.
const client = new x402Client().setSpendControls({ maxAmountPerPayment: "$0.007" });
registerExactEvmScheme(client, { signer: privateKeyToAccount(process.env.EVM_PRIVATE_KEY) });
const pay = wrapFetchWithPayment(fetch, client);

// Not sure it's safe to pay? ToolVet checks it first for $0.005. Pay for that from a separate
// client: this one is capped at $0.007 per payment. GET https://toolvet.app/api/v1/check?url=https%3A%2F%2Fapi.magentlab.com%2Fapi%2Fcalc%2Fascvd_vhr&method=POST
const res = await pay("https://api.magentlab.com/api/calc/ascvd_vhr", {
  method: "POST",
  headers: { "content-type": "application/json" },
  body: JSON.stringify({
    "items": [
      {
        "age": 70,
        "ckd_egfr_15_to_59": false,
        "congestive_hf": false,
        "current_smoking": false,
        "diabetes": true,
        "heterozygous_fh": false,
        "history_mi": true,
        "hypertension": false,
        "ischemic_stroke": false,
        "ldl_c_ge_100_on_max_statin_ezetimibe": false,
        "prior_cabg_or_pci_outside_major": false,
        "recent_acs": false,
        "symptomatic_pad": false
      },
      {
        "age": 70,
        "ckd_egfr_15_to_59": false,
        "congestive_hf": false,
        "current_smoking": false,
        "diabetes": true,
        "heterozygous_fh": false,
        "history_mi": true,
        "hypertension": false,
        "ischemic_stroke": false,
        "ldl_c_ge_100_on_max_statin_ezetimibe": false,
        "prior_cabg_or_pci_outside_major": false,
        "recent_acs": false,
        "symptomatic_pad": false
      }
    ]
  }),
});
console.log(res.status, await res.text());

Python: pay and call

# pip install "x402[requests,evm]"
import os
from eth_account import Account
from x402 import x402ClientSync
from x402.http.clients import x402_requests
from x402.mechanisms.evm import EthAccountSigner
from x402.mechanisms.evm.exact.register import register_exact_evm_client

# Pays at most $0.007 per call.
client = x402ClientSync().set_spend_controls({"max_amount_per_payment": "$0.007"})
register_exact_evm_client(client, EthAccountSigner(Account.from_key(os.environ["EVM_PRIVATE_KEY"])))

with x402_requests(client) as session:
    res = session.post(
        "https://api.magentlab.com/api/calc/ascvd_vhr",
        json={
            "items": [
                {
                    "age": 70,
                    "ckd_egfr_15_to_59": False,
                    "congestive_hf": False,
                    "current_smoking": False,
                    "diabetes": True,
                    "heterozygous_fh": False,
                    "history_mi": True,
                    "hypertension": False,
                    "ischemic_stroke": False,
                    "ldl_c_ge_100_on_max_statin_ezetimibe": False,
                    "prior_cabg_or_pci_outside_major": False,
                    "recent_acs": False,
                    "symptomatic_pad": False,
                },
                {
                    "age": 70,
                    "ckd_egfr_15_to_59": False,
                    "congestive_hf": False,
                    "current_smoking": False,
                    "diabetes": True,
                    "heterozygous_fh": False,
                    "history_mi": True,
                    "hypertension": False,
                    "ischemic_stroke": False,
                    "ldl_c_ge_100_on_max_statin_ezetimibe": False,
                    "prior_cabg_or_pci_outside_major": False,
                    "recent_acs": False,
                    "symptomatic_pad": False,
                },
            ],
        },
    )
    print(res.status_code, res.text)

Security scan

1 finding

Charges more than its listed price in payment
Listed at $0.005, charges $0.007

Recent checks

When	Result	HTTP	Time	Price
51 min ago	Timed out	-	-	-
6 h ago	Timed out	-	-	-
11 h ago	Timed out	-	-	-
16 h ago	Timed out	-	-	-
21 h ago	Passed	402	180 ms	$0.007

Show 10 older checks

26 h ago	Passed	402	143 ms	$0.007
30 h ago	Passed	402	154 ms	$0.007
35 h ago	Passed	402	529 ms	$0.007
40 h ago	Passed	402	737 ms	$0.007
44 h ago	Passed	402	184 ms	$0.007
2 days ago	Passed	402	303 ms	$0.007
2 days ago	Passed	402	206 ms	$0.007
2 days ago	Passed	402	161 ms	$0.007
3 days ago	Passed	402	242 ms	$0.007
3 days ago	Passed	402	225 ms	$0.007

History

11 Oct 2026	Price changed from $0.005 to $0.007

Trust score 67/ 100

Availability (30-day uptime)		27 / 30
Valid x402 challenge		15 / 15
Response time		10 / 10
Real paying agents (30 days)		5 / 15
Charges what it lists		0 / 10
Security scan		10 / 10
Verified owner		0 / 10

How the score works

Payment terms

Price: $0.007 per call
Listed at: $0.005 (charges more)
Token: USDC
Networks: Base
Pays to: 0x836B…9Ee2

Real usage

Paying agents: 2 in 30 days
Paid calls: 5 in 30 days
Last paid call: 5 days ago

Source: x402 Bazaar settlement data.

Is this your service?

Verify ownership to get the badge and 10 more trust points. Featured placement needs it too.

Verify ownership

Changed something? Check it again now and see what agents get.

Show the score

A badge for your README or docs. It updates with every check and links here.

Trust score

[![ToolVet trust score](https://toolvet.app/badge/calc-ascvd-vhr.svg)](https://toolvet.app/s/calc-ascvd-vhr)