Australian GPs were said to be using an outdated algorithm to identify patients at risk of cardiovascular disease, in a 2020 article published in the MJA (Medical Journal of Australia).
Cardiovascular disease presents most seriously as Heart attack or stroke (where the blood supply to brain is interrupted, resulting in paralysis, loss of speech or other symptoms).

The problem is that our guideline tool, the Absolute Cardiovascular risk calculator, is not sensitive enough and does not incorporate new technology such as Coronary Artery Calcium Score (the ‘CAC’ score).
The Absolute Cardiovascular risk calculator is available online at https://www.cvdcheck.org.au
Of note is that sudden death is the first sign of heart disease in over a 1/3 of patients with coronary artery disease (reference – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014372)

It has also been proposed to use computed tomography (CT) coronary artery calcium scoring as a decision aid, for example for those with scores that are higher but still regarded as low risk under the Australian guidelines yet with a positive family history.
Whilst US criteria should not automatically be applied here, US patients over 55 with non-zero calcium scores or with a score of 100 or more may be advised to commence statin (cholesterol lowering) medication.
However, a more recent systematic review published in the JAMA has described the benefits from reclassifying patients based on their calcium scores as modest in nature, reiterating the importance of traditional assessment:
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2791663

Ultimately how and when to screen for cardiovascular disease is an individual decision for each patient, taking into account age, sex, lifestyle and past medical and family history. GPs are well placed to help in such an assessment.