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Moderate"CT calcium mandatory before statin"ACC/AHA 2019 recommends statin therapy for adults 40-75 with LDL-C 70-189 mg/dL and 10-year risk >=7.5% after clinician-patient discussion. Ezetimibe alone is not first-line; aspirin is not broadly recommended; CAC is optional if uncertainty remains."acc/aha guideline (2019): primary prevention of cardiovascular disease"
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