Recent advances in cardiovascular risk assessment: The added value of non-invasive anatomic imaging

被引:3
作者
Selvam, Pooja, V [1 ]
Grandhi, Gowtham R. [2 ]
Leucker, Thorsten M. [2 ]
Arbab-Zadeh, Armin [2 ]
Gulati, Martha [3 ]
Blumenthal, Roger S. [2 ]
Whelton, Seamus P. [2 ,4 ]
机构
[1] Johns Hopkins Bayview Med Ctr, Dept Internal Med, Baltimore, MD USA
[2] Johns Hopkins Univ, Ciccarone Ctr Prevent Cardiovasc Dis, Div Cardiol, Sch Med, Baltimore, MD USA
[3] Cedars Sinai Heart Inst, Los Angeles, CA USA
[4] Johns Hopkins Univ, Ciccarone Ctr Prevent Cardiovasc Dis, Sch Med, 600 N Wolfe St, Baltimore, MD 21287 USA
关键词
ASCVD; Coronary artery calcium; Coronary CTA; Coronary artery disease; Prevention; CORONARY-ARTERY CALCIUM; MYOCARDIAL-INFARCTION; ATHEROSCLEROSIS; ANGIOGRAPHY; TOMOGRAPHY; PLAQUE;
D O I
10.1016/j.jcct.2024.01.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In 2022, multiple original research studies were conducted highlighting the utility of coronary artery calcium (CAC) imaging in young individuals and provided further evidence for the role of CAC to improve atherosclerotic cardiovascular disease (ASCVD) risk assessment. Mean calcium density was shown to be a more reliable predictor than peak density in risk assessment. Additionally, in light of the ACC/AHA/Multispecialty Chest Pain Guideline's recent elevation of coronary computed tomography angiography (CCTA) to a Class I (level of evidence A) recommendation as an index diagnostic test for acute or stable chest pain, several studies support the utility of CCTA and guided future directions. This review summarizes recent studies that highlight the role of non-invasive imaging in enhancing ASCVD risk assessment across different populations.
引用
收藏
页码:113 / 119
页数:7
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