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  • The Agatston Coronary Artery Calcium Score in Statin Users: Recent . . .
    The coronary artery calcium (CAC) burden as reported with the Agatston score 1 is strongly associated with adverse cardiovascular disease (CVD) events 2-6 CAC scoring using the Agatston method is an established guideline-endorsed adjunct to traditional risk factors for enhanced risk assessment to guide management in asymptomatic individuals 7-9
  • Major Global Coronary Artery Calcium Guidelines: Key Points
    The following are key points to remember from this state-of-the-art paper on major global coronary artery calcium (CAC) guidelines: Clinical practice guideline (s) for prevention and treatment of coronary heart disease (CHD) include structuring systematic and universally applicable recommendations that aid practitioner and patient decision making
  • ACC AHA Issue Updated Guideline for Managing Lipids, Cholesterol . . .
    Healthy lifestyle habits, earlier treatment to lower long-term exposure to plaque-causing lipids, new cholesterol target goals, selective use of coronary calcium scoring, lipoprotein (a) and apolipoprotein B testing, new treatments, and guidance for managing lipids in specific populations among key focus areas
  • LDL-C targets based on coronary artery calcium . . . - ScienceDirect
    The approach to LDL-C management in primary prevention has shifted from lipid-centric strategies to personalized, risk-based frameworks However, the binary distinction between primary and secondary prevention may overlook individuals with advanced subclinical atherosclerosis Coronary artery calcium (CAC) scoring has become central in identifying such patients, especially those whose risk
  • Guideline-Directed Application of Coronary Artery Calcium Scores for . . .
    The 2018 ACC (American College of Cardiology) AHA (American Heart Association) and 2021 ESC (European Society of Cardiology) EAS (European Atherosclerosis Society) guidelines recommend coronary artery calcium (CAC) score for risk refinement in primary prevention of atherosclerotic cardiovascular disease (ASCVD)
  • Assessment of Coronary Artery Calcium Scoring to Guide Statin Therapy . . .
    Meaning The study’s findings suggested that, among individuals at intermediate risk with risk-enhancing factors, atherosclerotic cardiovascular event rates were generally lower than the recommended threshold to initiate statin therapy when the coronary artery calcium score was 0; for cases in which additional risk stratification is required
  • Understanding the 2026 Dyslipidemia Guidelines: CAC Scoring, Risk . . .
    Coronary artery calcium (CAC) scoring assumes an expanded and more precisely defined role in the 2026 ACC AHA Dyslipidemia Guideline, with new structured guidance on interpretation, treatment thresholds, and the novel incorporation of incidentally identified coronary calcium from non-gated CT imaging
  • Implications of Coronary Artery Calcium Testing for Treatment . . . - PubMed
    Abstract This review evaluates the cost-effectiveness of using coronary artery calcium (CAC) to guide long-term statin therapy compared with treating all patients eligible for statins according to 2013 American College of Cardiology American Heart Association cholesterol management guidelines for atherosclerotic cardiovascular disease
  • Coronary Artery Calcium Scoring in Asymptomatic Patients
    Abstract Coronary artery calcium (CAC) scoring is an important prognostic tool for personalized cardiovascular preventive care and has recently been incorporated into American College of Cardiology American Heart Association guidelines CAC provides direct visualization and quantification of CAC burden for risk stratification and primary prevention of cardiovascular events in an asymptomatic
  • Utilizing coronary artery calcium to guide statin use
    To that end, coronary artery calcium (CAC) scoring has been mandated by recent guidelines as a method to guide shared clinician-patient decision making and to classify statin use for intermediate-risk patients [3]
  • POLICY GUIDANCE - American Heart Association
    The scan produces a patient-specific “score” that is designed to estimate, on a scale of 0 to over 400, the risk or extent of coronary artery disease based on the number, size and density of calcified plaque deposits in the coronary arteries and can guide whether statins should be prescribed or further testing or intervention is required





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