Cardiol Cardiovasc Med 2019; 3(6): 373-385 DOI: 10.26502/fccm.92920087 Cardiology and Cardiovascular Medicine Vol. 3 No. 6 – December 2019. [ISSN 2572-9292] 373 Research Article Assessment of Impact of Coronary Artery Calcium On Cardiovascular Risk Stratification in an Indian Cohort Abhishek Gaikwad 1* , Yasmin Khan 1 , Anupam Kumar Singh 2 1 Metro hospital and cancer research centre, Jabalpur, India 2 Santosh medical college, Ghaziabad *Corresponding author: Abhishek Gaikwad, Metro hospital and cancer research centre, Jabalpur, India, E-mail: abhiworld1985@gmail.com Received: 15 September 2019; Accepted: 19 September 2019; Published: 27 September 2019 Citation: Abhishek Gaikwad, Yasmin Khan, Anupam Kumar Singh. Assessment of Impact of Coronary Artery Calcium On Cardiovascular Risk Stratification in an Indian Cohort. Cardiology and Cardiovascular Medicine 3 (2019): 373-385. Abstract Background: Cardiovascular diseases are emerging as a major cause of mortality and disability in India. Coronary artery Calcium (CAC) has been proposed as an additional tool for risk re-stratification for Primary prevention. However, there is a lack of data for its incremental value assessment in Indian patients. Methods: This study included 150 patients presenting with risk factors for Cardiovascular Diseases or Symptoms. 10-year risk of CVD was calculated using two risk assessment models Revised American College of Cardiology/American Heart Association (Risk ACC/AHA) and WHO Risk Prediction Charts. CT Angiography and Coronary Artery Calcium Scoring was done in each patient. Results: 48.2 % (28/57) of patients in Statins recommended category (10 yr ASCVD Risk >7.5 %) and 11/17 (64.7%) in Statin Considered group (ASCVD Risk 5-7.5 %) according to guidelines had CAC Zero. 13/75 (17.3 %) of patients in whom statin was not recommended had a non-zero Coronary artery Calcium. A total of 52/150 (34.6%) (Statin not needed