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Coronary Calcium Score and Cardiovascular Risk.

Abstract：

:Coronary artery calcium (CAC) is a highly specific feature of coronary atherosclerosis. On the basis of single-center and multicenter clinical and population-based studies with short-term and long-term outcomes data (up to 15-year follow-up), CAC scoring has emerged as a widely available, consistent, and reproducible means of assessing risk for major cardiovascular outcomes, especially useful in asymptomatic people for planning primary prevention interventions such as statins and aspirin. CAC testing in asymptomatic populations is cost effective across a broad range of baseline risk. This review summarizes evidence concerning CAC, including its pathobiology, modalities for detection, predictive role, use in prediction scoring algorithms, CAC progression, evidence that CAC changes the clinical approach to the patient and patient behavior, novel applications of CAC, future directions in scoring CAC scans, and new CAC guidelines.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Greenland P,Blaha MJ,Budoff MJ,Erbel R,Watson KE

doi

10.1016/j.jacc.2018.05.027

subject

Has Abstract

pub_date

2018-07-24 00:00:00

pages

434-447

issue

4

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(18)34936-2

journal_volume

72

pub_type

杂志文章,评审

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