Author + information
- Chirag Desai,
- Mason Blue,
- Valerie Bares and
- Tomasz Stys
Patients of Native American descent have generally higher overall cardiovascular risk. Both coronary artery calcium (CAC) scoring and the pooled cohort risk assessment (PCRA) score can be used to estimate cardiovascular disease risk. The purpose of this study was to compare the difference in CAC and PCRA scores in Native Americans and non-Native Americans.
The study population included patients who underwent calcium scanning between February 2008 and February 2019 as part of the Sanford Cardiovascular Prevention program. PCRA was calculated at initial visit. Retrospective analysis was performed using a general linear model for comparison of continuous variables and the chi-square test for categorical variables.
There were 31,894 non-Native Americans and 857 Native American patients. Although CAC scores were significantly higher between Native Americans and non-Native Americans (149.41±427.78 vs 114.58±352.61, P < 0.045), PCRA was not significantly different between the two groups (9.47±9.77 among Native Americans and 9.16±9.48 among non-Native Americans, P = 0.3438) (Table 1).
CAC may be a better identifier of high-risk patient populations compared to PCRA as seen in this Native American cohort.
Posters Hall_Hall A
Monday, March 30, 2020, 9:45 a.m.-10:30 a.m.
Session Title: Acute and Stable Ischemic Heart Disease: Clinical 7
Abstract Category: 02. Acute and Stable Ischemic Heart Disease: Clinical
Presentation Number: 1422-171
- 2020 American College of Cardiology Foundation