What is your approach to using coronary calcium scoring to select older adults for statins in primary prevention without diabetes or known ASCVD?

A definition of older adults needs to be made. If greater than 75, it’s a class IIb indication and of limited value. Risk score, also in patients under 75, should be at least 5%, preferably closer to 7.5%. I tend to give the patients the data and let them make the decision; it’s definitely not a mus...