o Provides an accurate determination of the likelihood that an asymptomatic person has the condition (accuracy).
o Reproducible results (reliability).
o Detect individuals where early intervention is likely to have a beneficial impact.
o Should provide incremental value to risk predicted by office-based risk assessment.
o Those with suspected or diagnosed familial hypercholesterolemia
o Those with a family history of premature ASCVD
o Those with multiple risk factors
o Those aged 40 to 45 are classified as a borderline-intermediate risk by the pooled cohort equation.
o Global risk assessment with family history and other measures.
o Biomarkers (ideally predicting near-term risk).
o Subclinical disease imaging for atherosclerotic burden.
Dr. Nathan Wong is a cardiovascular epidemiologist and Professor and Director, Heart Disease Prevention Program, Division of Cardiology at the University of California, Irvine in California. He holds MPH and PhD degrees in epidemiology from Yale University and is a fellow of the American College of Cardiology, American Heart Association, National Lipid Association, and American Society for Preventive Cardiology He is a past president of the American Society for Preventive Cardiology and Pacific Lipid Association (Chapter of the National Lipid Association), and president-elect of the Interamerican Heart Foundation. Dr. Wong has primary research interests in subclinical atherosclerosis, lipid and diabetes management, and cardiovascular disease epidemiology and prevention and has authored over 300 papers and co-edited six textbooks, including the Braunwald Companion on Preventive Cardiology and the ASPC Manual on Preventive Cardiology.
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