TY - JOUR
T1 - Leveling the playing field
T2 - The utility of coronary artery calcium scoring in cardiovascular risk stratification in South Asians
AU - Agarwala, Anandita
AU - Patel, Jaideep
AU - Blaha, Michael
AU - Cainzos-Achirica, Miguel
AU - Nasir, Khurram
AU - Budoff, Matthew
N1 - © 2022 The Author(s).
PY - 2023/3
Y1 - 2023/3
N2 - South Asian (SA) individuals, particularly those that reside in the United States and other Westernized countries, are at an elevated risk for ASCVD and mortality related to ASCVD. The 2018 ACC/AHA/Multi-society Cholesterol guideline listed SA as a high-risk ethnicity, underscoring the importance of treating modifiable risk factors to reduce ASCVD burden. Coronary artery calcium (CAC), a highly specific marker of subclinical atherosclerosis, may be a useful test to improve risk stratification among SA individuals. CAC testing is a cost-effective, highly reproducible, and specific marker of subclinical atherosclerosis, shown to improve ASCVD risk assessment across all racial/ethnic groups, thereby serving as a guide for initiating or deferring preventive therapies. In this White Paper we will discuss the use of CAC scoring to optimize risk stratification and delivery of preventive therapies to individuals of SA ethnicity.
AB - South Asian (SA) individuals, particularly those that reside in the United States and other Westernized countries, are at an elevated risk for ASCVD and mortality related to ASCVD. The 2018 ACC/AHA/Multi-society Cholesterol guideline listed SA as a high-risk ethnicity, underscoring the importance of treating modifiable risk factors to reduce ASCVD burden. Coronary artery calcium (CAC), a highly specific marker of subclinical atherosclerosis, may be a useful test to improve risk stratification among SA individuals. CAC testing is a cost-effective, highly reproducible, and specific marker of subclinical atherosclerosis, shown to improve ASCVD risk assessment across all racial/ethnic groups, thereby serving as a guide for initiating or deferring preventive therapies. In this White Paper we will discuss the use of CAC scoring to optimize risk stratification and delivery of preventive therapies to individuals of SA ethnicity.
KW - Coronary artery calcium
KW - Lipid
KW - Prevention
KW - South Asian
KW - Statin
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U2 - 10.1016/j.ajpc.2022.100455
DO - 10.1016/j.ajpc.2022.100455
M3 - Review article
C2 - 36636123
AN - SCOPUS:85162432996
SN - 2666-6677
VL - 13
JO - American Journal of Preventive Cardiology
JF - American Journal of Preventive Cardiology
M1 - 100455
ER -