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2026 ACC Dyslipidemia Guidelines – Part 2: Coronary Calcium (CAC) Who should consider CAC testing? • Men ≥40 • Women ≥45 Especially if ASCVD risk is uncertain or intermediate How CAC guides LDL goals: CAC = 0 • If no high-risk conditions and patient prefers avoiding therapy • Reasonable to defer lipid therapy • Repeat CAC in 3–7 years CAC 1–99 • Start lipid-lowering therapy favored • LDL goal
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