Prevention & lipids

Race- and Sex-Specific Age at Which Coronary Artery Calcium Becomes Detectable Among Young Adults

Circ Cardiovasc ImagingPublished cross-sectional study

Authors' conclusion

The age at which CAC becomes detectable in young adults varies substantially by race, sex, and the number of ASCVD risk factors. Earlier initiation of CAC scans may be indicated in select subgroups at greater risk of premature atherosclerosis.

Study context

Population
Participants aged 30 to 50 years from the coronary artery calcium (CAC) Consortium and the CARDIA (Coronary Artery Risk Development in Young Adults) studymean age, 43.3±4.7years, 66.9% men, and 87.5% White
Participants
17,285 participants
Exposure
Sex- and race-specific multivariable logistic regression models to predict the probability of CAC >0
Outcome
Prevalence of CAC >0

Main finding

As reported in the abstract

Participants with CAC >0

30.1%

Observational data: associations, not effects.

Further findings

Estimated age at which CAC became detectable, with 2 ASCVD risk factors

  • Estimated age at which CAC became detectable, with 2 atherosclerotic cardiovascular disease (ASCVD) risk factors: minimum testing yield of 25%

Probability of CAC >0 by sex and race

Higher among men than women and White compared with Black individuals

Original publication

Race- and Sex-Specific Age at Which Coronary Artery Calcium Becomes Detectable Among Young Adults. Circ Cardiovasc Imaging. Published 3 March 2025. doi:10.1161/circimaging.124.016599

Summarised from the published abstract; every number is checked against it

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