Statins for Intermediate Risk Let the Calcium Score Decide

❤️ Intermediate cardiovascular risk — prescribe statins or wait?

In this episode of EBM Rounds, we show how the coronary artery
calcium (CAC) score transforms clinical uncertainty into a clear
binary decision — and when a score of zero lets you safely skip
statins altogether.

📌 What you'll learn:
✔ CAC = 0: why it's safe to defer statin therapy even with risk factors
✔ CAC more 100 Agatston units: lowest NNT, strongest case for treatment
✔ How CAC outperforms traditional risk scales for personalized decisions
✔ When to refer for CAC assessment starting tomorrow

🔬 Evidence-based. Clinically practical. Under 3 minutes.

📚 Key References:
Cheong et al., 2020 https://doi.org/10.1111/joim.13176
Golub et al., 2021 https://doi.org/10.1016/j.atherosclerosis.2021.04.011
Grundy et al., 2022 https://doi.org/10.1016/j.jacl.2022.11.001
Hong et al., 2017 https://doi.org/10.1016/j.jcmg.2017.04.014
Kambalapalli et al., 2025 https://doi.org/10.1007/s11883-025-01287-x
Mitchell et al., 2018 https://doi.org/10.1016/j.jacc.2018.09.051
Nasir & Cainzos‐Achirica, 2021 https://doi.org/10.1136/bmj.n776
Orringer & Maki, 2020 https://doi.org/10.1016/j.mayocp.2020.01.016
Patel et al., 2021 https://doi.org/10.1001/jamacardio.2021.2321
Whelton & Blaha, 2023 https://doi.org/10.1136/heartjnl-2022-321711

#Statins #CalciumScore #CAC #CardiovascularRisk #EvidenceBasedMedicine
#Cardiology #PrimaryCare #EBMRounds #MedicalEducation

Видео Statins for Intermediate Risk Let the Calcium Score Decide канала EBM Rounds