Coronary Artery Calcium Scanning The Key to the Primary Prevention of Coronary Artery Disease

被引:9
|
作者
Hecht, Harvey S. [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Cardiol, Mt Sinai Med Ctr, New York, NY 10029 USA
关键词
Calcium scanning; Atherosclerosis; Coronary artery disease; BEAM COMPUTED-TOMOGRAPHY; C-REACTIVE PROTEIN; ACUTE MYOCARDIAL-INFARCTION; FRAMINGHAM RISK SCORE; ALL-CAUSE MORTALITY; CARDIOVASCULAR EVENTS; HEART-DISEASE; SUBCLINICAL ATHEROSCLEROSIS; ASYMPTOMATIC INDIVIDUALS; METABOLIC SYNDROME;
D O I
10.1016/j.ecl.2014.08.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery calcium scanning (CAC) is the most powerful prognosticator of cardiac risk in the asymptomatic primary prevention population, far exceeding the role of risk factor-based paradigms. The primary utility of risk factors is to identify treatable targets for risk reduction after risk has been determined by CAC. Serial calcium scanning to evaluate progression of calcified plaque is useful for determining the response to treatment. The 2013 cholesterol treatment guidelines understate the value of CAC scanning for atherosclerotic disease risk assessment.
引用
收藏
页码:893 / +
页数:20
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