The utility of coronary artery calcium scoring to enhance cardiovascular risk assessment for South Asian adults

Abhishek Gami; Sushrit Bisht; Priyanka Satish; Michael J Blaha; Jaideep Patel

doi:10.1016/j.pcad.2024.05.001

The utility of coronary artery calcium scoring to enhance cardiovascular risk assessment for South Asian adults

Prog Cardiovasc Dis. 2024 May 7:S0033-0620(24)00069-0. doi: 10.1016/j.pcad.2024.05.001. Online ahead of print.

Authors

Abhishek Gami¹, Sushrit Bisht², Priyanka Satish³, Michael J Blaha⁴, Jaideep Patel⁵

Affiliations

¹ Johns Hopkins University School of Medicine, Department of Internal Medicine, Baltimore, MD, USA.
² Anne Arundel Medical Center, Department of Internal Medicine, Annapolis, MD, USA.
³ Houston Methodist DeBakey Heart and Vascular Center, TX, USA.
⁴ South Asian Cardiovascular Health Initiative (SACHI), Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, Baltimore, MD, USA.
⁵ South Asian Cardiovascular Health Initiative (SACHI), Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, Baltimore, MD, USA. Electronic address: jpatel27@jhmi.edu.

PMID: 38723928
DOI: 10.1016/j.pcad.2024.05.001

Abstract

South Asian individuals represent a highly diverse population and are one of the fastest growing ethnic groups in the United States. This population has a high prevalence of traditional and non-traditional cardiovascular disease (CVD) risk factors and a disproportionately high prevalence of coronary heart disease. To reflect this, current national society guidelines have designated South Asian ancestry as a "risk enhancing factor" which may be used to guide initiation or intensification of statin therapy. However, current methods of assessing cardiovascular risk in South Asian adults may not adequately capture the true risk in this diverse population. Coronary artery calcium (CAC) scoring provides a reliable, reproducible, and highly personalized method to provide CVD risk assessment and inform subsequent pharmacotherapy recommendations, if indicated. This review describes the utility of CAC scoring for South Asian individuals.

Keywords: Coronary artery calcium; Prevention; South Asian.

Publication types

Review