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19 4.5. Other Populations at Risk COR LOE Recommendation Ethnicity IIa B-NR 1. For clinical decision-making in adults of different race/ ethnicities, it is reasonable for clinicians to review race/ethnic features that can influence ASCVD risk so as to adjust choice of statin or intensity of treatment. Table 8. Racial/Ethnic Issues in Evaluation, Risk Decisions, and Treatment of ASCVD Risk Racial/Ethnic Groupings Asian Americans a Hispanic/Latino Americans b Blacks Comments Evaluation ASCVD issues informed by race/ethnicity ASCVD risk in people of South Asian and East Asian origin varies by country of origin; individuals from South Asia (see below) have increased ASCVD risk. Race/ethnicity and country of origin, together with socioeconomic status and acculturation level, may explain risk factor burden more precisely (e.g., ASCVD risk is higher among individuals from Puerto Rico than those from Mexico). ASCVD risk assessment in black women shows increased ASCVD risk compared with their otherwise similar white counterparts. ere is heterogeneity in risk according to racial/ ethnic group and within racial/ethnic groups. Native American/ Alaskan populations have high rates of risk factors for ASCVD compared with non-Hispanic whites.

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