A Coronary Computed Tomography Angiography-guided Intervention for High Risk Cardiovascular Disease Population in Rural China

Inclusion Criteria: Inclusion criteria of study villages: 1. Administrative villages 2. The village has no plans to merge with other villages within 3 years 3. The village is at least 2 kilometers away from other participating villages 4. The village has a sufficient number of study participants 5. The village is able to cooperate with the implementation of the study Inclusion criteria of study participants: 1. Men or women aged between 40 and 75 years 2. Live stably in the province where the study is conducted and no intention to migrate within next 3 years 3. Not participating in other clinical trials 4. Meet any of the following: (1)Low-Density Lipoprotein Cholesterol (LDL-C) ≥ 4.9 mmol/L or Total Cholesterol (TC) ≥ 7.2 mmol/L (2)Diabetes mellitus (3)Chronic Kidney Disease (CKD) Stage 3-4: estimated Glomerular Filtration Rate (eGFR) 15-59 mL/min/1.73m\^2 (4)With a history of hypertension and 3 risk factors, combined with LDL-C ≥ 1.8 mmol/L or TC ≥ 3.1 mmol/L \[Risk factors (assessed pre-intervention): smoking, low HDL-C, male ≥ 45 years old or female ≥ 55 years old\] (5)With a history of hypertension and 2 risk factors, combined with LDL-C ≥ 2.6 mmol/L or TC ≥ 4.1 mmol/L \[Risk factors (assessed pre-intervention): smoking, low HDL-C, male ≥ 45 years old or female ≥ 55 years old\] 5. Sign the informed consent Exclusion Criteria: 1. Unwillingness or inability to undergo coronary CTA examination (e.g., previous history of severe contrast allergy, claustrophobia, or inability to cooperate with scanning and breath-holding for physical reasons in study participants) 2. Typical angina symptoms, known coronary artery disease, or other major atherosclerotic cardiovascular disease 3. Known cerebrovascular disease (e.g., cerebral hemorrhage, cerebral infarction, etc. ) 4. Prior invasive or non-invasive coronary angiography within the last 5 years 5. Known familial hypercholesterolemia or other inherited disorders of lipid metabolism requiring lipid-lowering therapy 6. Presence of active bleeding or diseases with a very high risk of bleeding (e.g., active peptic ulcer disease, gastrointestinal pathologies with increased risk of bleeding, hematologic disorders with increased risk of bleeding, etc.) 7. End-stage diseases such as cirrhosis decompensation, with life expectancy \<3 years 8. Have a malignant tumor 9. Intolerance of all statins 10. Lipid-lowering treatment for \>2 years 11. Pregnant or breastfeeding, planning to become pregnant within the next 3 years 12. eGFR \<30 mL/min/1.73m\^2 13. Platelet count \<100×10\^9/L 14. Poor compliance, unable to cooperate with study investigators 15. Investigators consider unsuitable for participants selected for this study

Reproduced word-for-word from the public registry record — the study team can answer questions about it.