what are the Primary Prevention Recommendations for Adults 40 to 75 Years of
Age With LDL Levels 70 to 189 mg/dL (1.7 to 4.8 mmol/L)
Referenced studies that support recommendations are summarized
in Online Data Supplement 16.?
In intermediate-risk adults or selected borderline-risk adults in whom a CAC score is measured for the purpose of making a treatment decision, AND ? If the coronary calcium score is zero, it is reasonable to withhold statin therapy and reassess in 5 to 10 years, as long as higher risk conditions are absent (diabetes mellitus, family history of premature CHD, cigarette smoking); ? If CAC score is 1 to 99, it is reasonable to initiate statin therapy for patients ?55 years of age; ? If CAC score is 100 or higher or in the 75th percentile or higher, it is reasonable to initiate statin therapy.S