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Genetic and Conventional Risk Stratification Are Complementary for Primary Prevention of CAD Cover

Genetic and Conventional Risk Stratification Are Complementary for Primary Prevention of CAD

Open Access
|Sep 2026

Figures & Tables

Figure 1

Showing on the ordinate is LDL-C in milligram years. 5,000 mg-years designates the minimum clinical threshold required for coronary atherosclerosis to induce symptoms. Showing on the abscissa is the chronological age in years. A plasma LDL-C of 125 mg-dL after 40 years of exposure is enough to break through the clinical threshold. In contrast, a plasma LDL-C of 80 mg/dL requires exposure up to age 60 to reach the clinical threshold. Decreasing the plasma LDL-C to 50 mg/dL requires exposure to age 100 years before clinical symptoms appear. Thus it is theoretically possible to delay the onset of the first myocardial infarction until age 100 years. LDL-C: low-density lipoprotein cholesterol

DOI: https://doi.org/10.14797/mdcvj.1851 | Journal eISSN: 1947-6108
Language: English
Page range: 40 - 50
Submitted on: Apr 20, 2026
Accepted on: May 15, 2026
Published on: Sep 15, 2026
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2026 Robert Roberts, MacKenna Roberts, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.