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1 ASCVD mortality rates in DP and in the GP were significa
2 ASCVD prevalence in those with CTD was 29.7% for African
3 ASCVD was defined as a first nonfatal myocardial infarct
4 ASCVD was defined as myocardial infarction, coronary hea
5 ASCVD was defined as myocardial infarction, coronary hea
7 he number needed to treat (NNT) to prevent 1 ASCVD event over 5 years for each patient group and to a
8 curred in 84 participants with diabetes (135 ASCVD events), 115 with MetS (175 ASCVD events), and 157
10 betes (135 ASCVD events), 115 with MetS (175 ASCVD events), and 157 with neither (250 ASCVD events).
12 ,129,205 (96.1%) were statin-eligible (91.2% ASCVD, 6.6% diabetes, 0.3% off-treatment LDL-C >/=190 mg
16 of 10.2 years of follow-up (2000-2012), 556 ASCVD events (8.2%) and 539 AFib events (7.9%) occurred.
19 Observed and expected events for the AHA-ACC-ASCVD score were compared with 4 commonly used risk scor
20 5 risk scores, 4, including the new AHA-ACC-ASCVD score, showed overestimation of risk (25% to 115%)
24 vement among participants who experienced an ASCVD event (0.390; 95% CI, 0.312-0.467 vs 0.08; 95% CI
27 part of inflammation in atherosclerosis and ASCVD is because of triglyceride-rich lipoprotein degrad
28 ectional, multinational study, all-cause and ASCVD mortality rates were compared between GP and DP us
29 e was also a prognostic indicator of CHD and ASCVD after controlling for diabetes duration of 10 year
30 ndrome (MetS) or diabetes identifies CHD and ASCVD prognostic indicators during a long follow-up peri
31 ong-term prognostication of incident CHD and ASCVD using CAC scores among those with diabetes, MetS,
32 arge U.S. academic center identified CTD and ASCVD status for 287,467 African American and white adul
34 , use of ezetimibe, coexistent diabetes, and ASCVD status can bear significantly on the likelihood of
36 t heart failure, or atrial fibrillation) and ASCVD (fatal or nonfatal myocardial infarction or stroke
37 es of effort, unhealthy lifestyle habits and ASCVD risk factor levels remain high and are increasing
39 btained from electronic medical records, and ASCVD events were ascertained by using validated algorit
40 the observed disproportionate CTD-associated ASCVD in African Americans, young adults, and those with
43 assessed among participants without baseline ASCVD who were enrolled in the Dallas Heart Study (DHS).
47 or statin-treated participants with clinical ASCVD and comorbidities, and 20% to 29% (high risk) for
48 ar outcomes trials in patients with clinical ASCVD and in a smaller number of high-risk primary preve
49 ions are provided for patients with clinical ASCVD with or without comorbidities on statin therapy fo
53 e 10-year risk for hard atherosclerotic CVD (ASCVD) following the ACC/AHA guideline, 10-year risk of
54 nts: Women with 10-year atherosclerotic CVD (ASCVD) risk lower than 7.5% from 5 large population-base
58 ) or atherosclerotic cardiovascular disease (ASCVD) and have potential for broad ASCVD prevention.
59 n of atherosclerotic cardiovascular disease (ASCVD) and probably in patients with diabetes without AS
60 k of atherosclerotic cardiovascular disease (ASCVD) and to define high-risk and very high-risk patien
62 k of atherosclerotic cardiovascular disease (ASCVD) by implementing cardiovascular preventive strateg
65 for atherosclerotic cardiovascular disease (ASCVD) events given its important etiologic role in athe
66 for atherosclerotic cardiovascular disease (ASCVD) events in contemporary and ethnically diverse pop
67 dent atherosclerotic cardiovascular disease (ASCVD) events, and atrial fibrillation (AFib) in a multi
69 d to atherosclerotic cardiovascular disease (ASCVD) in dialysis populations (DP) and in the backgroun
70 for atherosclerotic cardiovascular disease (ASCVD) in familial hypercholesterolemia (FH) have been d
73 t of atherosclerotic cardiovascular disease (ASCVD) is essential to effectively balance the risks and
75 but atherosclerotic cardiovascular disease (ASCVD) outcomes of FH in the general US population have
76 year atherosclerotic cardiovascular disease (ASCVD) risk >/=7.5% based on traditional risk factors.
79 the atherosclerotic cardiovascular disease (ASCVD) risk estimator (pooled cohort equation [PCE]) is
81 e of atherosclerotic cardiovascular disease (ASCVD) risk to personalize systolic blood pressure (SBP)
82 cted atherosclerotic cardiovascular disease (ASCVD) risk, calculated using the pooled cohort risk equ
87 for atherosclerotic cardiovascular disease (ASCVD) with statins based on absolute ASCVD risk assessm
89 with atherosclerotic cardiovascular disease (ASCVD), guidelines recommend optimizing statin treatment
90 ajor atherosclerotic cardiovascular disease (ASCVD)-related events; second, to evaluate the relative
103 oup (atherosclerotic cardiovascular disease [ASCVD], diabetes, LDL-C >/=190 mg/dl, or an estimated 10
104 tal atherosclerotic cardiovascular diseases (ASCVD) is now inclusive of stroke in addition to hard co
110 particularly among adults with an estimated ASCVD risk of 5% to 15% and prehypertension or mild hype
112 years received statin treatment, experienced ASCVD events, and died from ASCVD-related or non-ASCVD-r
114 1 (95% confidence interval, 0.640-0.723) for ASCVD risk and 0.703 (95% confidence interval, 0.663-0.7
115 cation of Diseases, Ninth Revision codes for ASCVD on 2 or more different dates in the prior 2 years.
116 l (LDL-C) are an independent risk factor for ASCVD, and clinical trial data have shown that lowering
117 rolemia is a major treatable risk factor for ASCVD, yet many individuals fail to reach target levels
122 ent, experienced ASCVD events, and died from ASCVD-related or non-ASCVD-related causes based on ASCVD
123 ificant but opposite association with future ASCVD and AFib (hazard ratios were 0.72 (95% confidence
124 ombined CAC imaging and assessment of global ASCVD risk has the potential to guide personalized SBP g
128 d 0.68 (95% CI, 0.64-0.73) in women for hard ASCVD (ACC/AHA), 0.67 (95% CI, 0.62-0.72) in men and 0.6
130 dence rates (per 1000 person-years) for hard ASCVD were 4.4 for CAC, 0 (n=574; 46% of the sample); 8.
132 isk vs observed cumulative incidence of hard ASCVD events was 21.5% (95% CI, 20.9%-22.1%) vs 12.7% (9
135 or statins by USPSTF guidelines had a higher ASCVD event rate in the presence of CAC (2.8 per 1000 pe
137 her ASCVD risk threshold to a 3.0% or higher ASCVD risk threshold was estimated to be associated with
138 ess whether CAC was associated with improved ASCVD risk predictions beyond the traditional risk facto
146 g evidence that the benefits of reduction in ASCVD events from statin therapy exceed adverse events.
147 for 32.0% of census tract-level variation in ASCVD event rates, compared with 10.0% accounted for by
150 abdominal aortic calcium score, and incident ASCVD (ie, myocardial infarction, ischemic stroke, or fa
152 tery calcium (CAC) score vs age for incident ASCVD and how risk prediction changes by adding CAC scor
156 vels were independent predictors of incident ASCVD from which a risk equation with a Harrell C index
158 ratios for the composite outcome of incident ASCVD or heart failure after further stratifying by CAC
161 omes and Measures: Main outcome was incident ASCVD, including nonfatal myocardial infarction, coronar
162 ; other inflammatory arthropathy), increased ASCVD rates were found in nearly all subsets, always wit
163 of risk factors, the prevalence of increased ASCVD risk is low among women younger than 50 and men yo
166 The main analyses excluded those with known ASCVD, diabetes mellitus, low-density lipoprotein choles
167 In 5,805 BioImage participants without known ASCVD at baseline, those with >/=7.5% 10-year ASCVD risk
171 ofile (ICER, $37,000/QALY), but more lenient ASCVD thresholds would be optimal using cost-effectivene
173 onclusions and Relevance: Among women at low ASCVD risk, CAC was present in approximately one-third a
175 baseline to the first occurrence of a major ASCVD event (myocardial infarction, stroke, or cardiovas
177 hat the ACC/AHA guidelines will prevent more ASCVD events than the trial-based and hybrid approaches,
178 D events, and died from ASCVD-related or non-ASCVD-related causes based on ASCVD natural history and
180 a 10-year cPCE risk <7.5% but with observed ASCVD event rates >7.5% who may warrant statin therapy c
184 h person without an established diagnosis of ASCVD before enrollment in the registry by use of the SA
186 n (hsCRP) levels, and family history (FH) of ASCVD to the PCE in participants of MESA (Multi-Ethnic S
188 corresponding numbers for family history of ASCVD were 4.6%, 15.1%, 12%, 4.3 (95% CI, 3.0-6.4), and
189 tivity C-reactive protein, family history of ASCVD, and ankle-brachial index recommendations by the A
190 cholesterol >/=160 mg/dL; family history of ASCVD; high-sensitivity C-reactive protein >/=2 mg/dL; c
192 s associated with a 50% reduced incidence of ASCVD in those with CAC (5.4% vs. 10.5%; p = 0.003), FH
196 es, are strong and independent predictors of ASCVD and all-cause mortality, and that their cholestero
200 ing statin therapy for primary prevention of ASCVD (net 221 individuals appropriately downclassified
202 isk-based approach for primary prevention of ASCVD with statins was superior to the trial-based and h
203 idence for CR in the secondary prevention of ASCVD, it remains vastly underutilized due to significan
206 isk population sample, a large proportion of ASCVD events occurred among adults with a 10-year cPCE r
208 ite decades of research showing reduction of ASCVD risk with multiple approaches to lowering of LDL c
210 >0) was associated with an increased risk of ASCVD (incidence rates per 1000 person-years, 1.41 for C
211 and was associated with an increased risk of ASCVD and modest improvement in prognostic accuracy comp
214 k factors for calculation of 10-year risk of ASCVD, 633 (9%) >75 years of age, and 209 (3%) with low-
216 related or non-ASCVD-related causes based on ASCVD natural history and statin treatment parameters.
217 erapy, statin, or tobacco cessation drugs on ASCVD events in individuals without prevalent ASCVD.
219 as a higher than 93% chance that the optimal ASCVD threshold was 5.0% or lower using a cost-effective
221 itor use in patients with heterozygous FH or ASCVD did not meet generally acceptable incremental cost
223 h participants in the lowest (<5%) predicted ASCVD risk category, multivariable-adjusted prevalence r
226 ially according to CAC levels when predicted ASCVD risk <15% and SBP <160mmHg (eg, 10-year number-nee
232 , ezetimibe use, and the absence of previous ASCVD were predictors of the attainment of LDL-C goals.
235 BP-lowering therapy, and statins for primary ASCVD prevention and tobacco cessation drugs for smoking
237 herapy of an appropriate intensity to reduce ASCVD risk and minimize adverse effects is recommended.
238 ove consistency in approaches to LDL-related ASCVD risk and to reduce gaps in implementation of evide
244 r exclusion of expert opinion, the suggested ASCVD risk assessment tool, the lipoproteins recommended
245 In the general US population, the long-term ASCVD burden related to phenotypic FH, defined by low-de
247 with CAC or CIMT added to variables from the ASCVD pooled cohort equation was also evaluated using re
249 cation) and 67.0% (after publication) in the ASCVD cohort, 50.6% (before publication) and 52.3% (afte
250 to high-intensity statins overall and in the ASCVD cohort, such a trend was already present before pu
251 ic height and sex was not significant in the ASCVD model (P = 0.78) but was significant in the AFib m
252 During 10 years of follow-up, 57% of the ASCVD events (183 of 320) occurred among adults with a c
253 Among these statin-eligible subjects, the ASCVD event rate per 1,000 person-years was 9.8, 6.8, an
254 ns, 29 CHD deaths, and 72 strokes), with the ASCVD incidence rates ranging from 1.5 to 6.0 per 1000 p
258 lar patterns of results were found for total ASCVD risk, with hazard ratios up to 4.1 (95% confidence
259 The PCERM systematically underpredicted ASCVD event risk among patients from disadvantaged commu
262 sample included 509766 eligible adults with ASCVD at baseline (mean [SD] age, 68.5 [8.8] years; 4995
268 o identify a cohort of 105 269 patients with ASCVD enrolled from January 1, 2012, through December 31
270 To estimate the percentage of patients with ASCVD who would require a PCSK9 inhibitor when oral lipi
274 2-2.16), and 1.91 (1.47-2.48) for those with ASCVD risk of 5% to <7.5%, 7.5% to <10%, and >/=10%, res
275 s, and 20% to 29% (high risk) for those with ASCVD without comorbidities or who have heterozygous fam
276 nducted of patients aged 21 to 84 years with ASCVD treated in the Veterans Affairs health care system
278 ithout diabetes mellitus or patients without ASCVD and LDL-C >/=190 mg/dL not due to secondary causes
279 did not have a significantly higher 10-year ASCVD event rate in the presence of CAC, African America
281 eligible by ACC/AHA guidelines, the 10-year ASCVD incidence per 1000 person-years was 8.1 (95% CI, 5
284 Hg, and 160-179 mm Hg) and estimated 10-year ASCVD risk (using the American College of Cardiology/Ame
286 ans to estimate baseline and updated 10-year ASCVD risk estimates for primary prevention patients adh
288 es of adults in each subgroup with a 10-year ASCVD risk greater than 5% and of those with an LDL-C le
292 to 75 years [corrected], the current 10-year ASCVD risk threshold (>/=7.5% risk threshold) used in th
294 was well calibrated around the 7.5% 10-year ASCVD risk treatment threshold and discriminated better
296 SCVD at baseline, those with >/=7.5% 10-year ASCVD risk were down-classified from statin eligible to
298 vantage index (NDI) and the predicted 5-year ASCVD event rate from the Pooled Cohort Equations Risk M
299 edicted ASCVD risk category, observed 5-year ASCVD risk was substantially lower: 0.20% for predicted
300 We compared predicted versus observed 5-year ASCVD risk, overall and according to sex and race/ethnic
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