9/19/2023 0 Comments Risk engine score for cad![]() 3ĬCTA in the Evaluation and Management of ASCVD in Symptomatic IndividualsĬoronary computed tomography angiography (CCTA) has emerged as an important tool in the evaluation of CAD in symptomatic individuals without high risk features in the United States and Europe. Despite these differences, the goal of both guidelines is to match ASCVD risk with the appropriate level of preventive efforts. ![]() While the AHA/ACC/MS guideline emphasizes primary and secondary prevention based on the presence of a prior ASCVD event to guide the percent LDL-C reduction achieved with lipid-lowering therapies, the ESC/EAS guideline prioritizes LDL-C goals using subgroups based on individual estimated risk and the presence of high-risk clinical conditions, including subclinical coronary artery disease (CAD) on imaging tests. There are, however, clinically meaningful differences in their approach. Both guidelines aim to reduce ASCVD risk with aggressive lifestyle modifications and by lowering low-density lipoprotein cholesterol (LDL-C) levels with statin and non-statin add-on therapies when indicated. In the United States and Europe, atherosclerotic cardiovascular disease (ASCVD) risk management is based on recommendations from the 2018 American Heart Association (AHA)/American College of Cardiology (ACC)/Multisociety (MS) guideline on the Management of Blood Cholesterol European Society of Cardiology (ESC)/European Atherosclerosis Society (EAS) Dyslipidemia guideline, 2 respectively.
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