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March 1, 2025JACC AsiaOpen Access

Atherosclerotic Cardiovascular Disease Risk Prediction Models in China, Japan, and Korea

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Why the study?

US ASCVD management relies on studies in primarily non-Hispanic White subjects, which may cause inaccurate ASCVD risk estimation and inappropriate treatment targeting in Asian populations.

Population

Chinese, Japanese, and Korean people living in the United States and in their native countries

Design

State-of-the-art review

Key result

Current ASCVD risk calculators may inaccurately estimate risk in East Asian populations, highlighting the need to disaggregate data and develop validated, region-specific risk prediction models.

Authors

PNPatricia K. NguyenDZDong ZhaoTOTomonori Okamura

Discussion

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Overview

Urges caution applying U.S. calculators to East Asians; leaves open validation of region-specific models.

Structured PICO

P
Population
Chinese, Japanese, and Korean people living in the United States and in their native countries.

This review highlights that current U.S. ASCVD risk calculators overestimate risk in East Asian populations and emphasizes the need for disaggregated data to develop and validate specific risk models for East Asian immigrants.

Limitations

  • Lack of disaggregated data for East Asian subgroups in US registries and trials
  • Current risk stratification models are not adequately validated in East Asian Americans
  • Limited data on the impact of acculturation and environmental effects on ASCVD risk profiles
  • Lack of disaggregated data for East Asian subgroups in national public surveys
  • Current risk calculators lack validation in East Asians living in the United States

Cite This Study

Nguyen et al. (2025) conducted a review in Atherosclerotic Cardiovascular Disease. ASCVD Risk Prediction Models was evaluated. Current ASCVD risk calculators may inaccurately estimate risk in East Asian populations, highlighting the need to disaggregate data and develop validated, region-specific risk prediction models.

synapsesocial.com/papers/6a09d6e916dfdfe7ed346668https://doi.org/10.1016/j.jacasi.2025.01.006
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