21
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
Risk Decisions
PCE No separate
PCE is
available;
use PCE
for whites.
PCE may
underestimate
ASCVD risk in
South Asians.
PCE may
overestimate
risk in East
Asians. In
terms of CAC
burden, South
Asian men
were similar to
non-Hispanic
white men, but
higher CAC
when than
blacks, Latinos,
and Chinese
Americans.
South Asian
women had
similar CAC
scores to
whites and
other racial/
ethnic women,
although CAC
burden higher
in older age.
No separate PCE
is available; use
PCE for non-
Hispanic whites. If
African-American
ancestry is also
present, then use
PCE for blacks.
CAC predicts
similarly in whites
and in those
who identify as
Hispanic/Latino.
Use PCE
for blacks.
In MESA,
CAC score
was highest
in white and
Hispanic
men, with
blacks having
significantly
lower
prevalence
and severity
of CAC.
Country-
specific race/
ethnicity,
along with
socioeconomic
status,
may affect
estimation of
risk by PCE.
Risk factor
differences
in MESA
between
ethnicities
did not
fully explain
variability
in CAC.
However,
CAC
predicted
ASCVD
events over
and above
traditional risk
factors in all
ethnicities.
