South Asians are the fastest-growing minority in the United States, with nearly 5.4 million residents. Unfortunately, they face a disproportionately higher burden of aggressive and premature atherosclerotic cardiovascular disease (ASCVD) compared to other ethnic groups, with higher hospitalization and mortality rates at younger ages.
The American College of Cardiology (ACC) and American Heart Association (AHA) recognize South Asian ancestry as a significant risk-increasing factor for cardiac disease. However, traditional risk calculators like the Framingham Risk Score often underestimate risk in this population.
Tools like the QRISK3 calculator, which includes South Asian ethnicity as a risk factor, provide more accurate risk estimates. While tools like PREVENT and AHA/ACC calculators are helpful, they often underestimate the genetic and sociocultural factors influencing South Asian cardiovascular health.
QRISK3 has been validated in large datasets and accounts for ethnicity, providing a stronger estimate of heart attack or stroke risk over the next 10 years.
Early detection of metabolic risks, such as impaired glucose metabolism (fasting blood glucose 100 mg/dL) or kidney disease, is critical. Targeted prevention strategies include:
By recognizing unique risk factors and implementing targeted prevention strategies, you can reduce your risk of cardiovascular disease. Start your journey to better heart health today.
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