Coronary Artery Calcification

被引:40
作者
Osawa, Kazuhiro [1 ]
Nakanishi, Rine [1 ]
Budoff, Matthew [1 ]
机构
[1] Univ Calif Los Angeles, Los Angeles Biomed Res Inst Harbor, Los Angeles, CA 90095 USA
基金
美国国家卫生研究院;
关键词
NONTRADITIONAL RISK MARKERS; AMERICAN-HEART-ASSOCIATION; INTIMA-MEDIA THICKNESS; PANEL III GUIDELINES; C-REACTIVE PROTEIN; CARDIOVASCULAR-DISEASE; CALCIUM SCORE; SUBCLINICAL ATHEROSCLEROSIS; METABOLIC SYNDROME; STATIN THERAPY;
D O I
10.1016/j.gheart.2016.08.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery calcification (CAC) is an established marker of subclinical atherosclerosis and an independent predictor of future coronary heart disease in the asymptomatic primary prevention population, particularly in the intermediate risk cohort. CAC also helps in reclassifying those patients and their risk of cardiovascular events into higher or lower risk categories. MESA (Multi-Ethnic Study of Atherosclerosis) is a National Heart, Lung, and Blood Institute-sponsored population-based medical research study involving 6,814 men and women from 6 U.S. communities without a medical history of clinical cardiovascular disease. The evidence from this population cohort revealed that CAC scoring was independently predictive and highly effective at risk stratification of major adverse cardiac events. This review provides available data based on MESA. We focus on the utility of CAC for cardiovascular disease risk stratification of individuals, and we describe its diagnostic value in identifying patients at risk.
引用
收藏
页码:287 / 293
页数:7
相关论文
共 47 条
[1]   Low-Risk Lifestyle, Coronary Calcium, Cardiovascular Events, and Mortality: Results From MESA [J].
Ahmed, Haitham M. ;
Blaha, Michael J. ;
Nasir, Khurram ;
Jones, Steven R. ;
Rivera, Juan J. ;
Agatston, Arthur ;
Blankstein, Ron ;
Wong, Nathan D. ;
Lakoski, Susan ;
Budoff, Matthew J. ;
Burke, Gregory L. ;
Sibley, Christopher T. ;
Ouyang, Pamela ;
Blumenthal, Roger S. .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2013, 178 (01) :12-21
[2]   Preventing myocardial infarction in the young adult in the first place: How do the National Cholesterol Education Panel III guidelines perform? [J].
Akosah, KO ;
Schaper, A ;
Cogbill, C ;
Schoenfeld, P .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 41 (09) :1475-1479
[3]   Coronary artery disease - Framingham risk score and prediction of coronary heart disease death in young men [J].
Berry, Jarett D. ;
Lloyd-Jones, Donald M. ;
Garside, Daniel B. ;
Greenland, Philip .
AMERICAN HEART JOURNAL, 2007, 154 (01) :80-86
[4]   Ethnic differences in coronary calcification - The multi-ethnic study of atherosclerosis (MESA) [J].
Bild, DE ;
Detrano, R ;
Peterson, D ;
Guerci, A ;
Liu, K ;
Shahar, E ;
Ouyang, P ;
Jackson, S ;
Saad, MF .
CIRCULATION, 2005, 111 (10) :1313-1320
[5]   Role of Coronary Artery Calcium Score of Zero and Other Negative Risk Markers for Cardiovascular Disease The Multi-Ethnic Study of Atherosclerosis (MESA) [J].
Blaha, Michael J. ;
Cainzos-Achirica, Miguel ;
Greenland, Philip ;
McEvoy, John W. ;
Blankstein, Ron ;
Budoff, Matthew J. ;
Dardari, Zeina ;
Sibley, Christopher T. ;
Burke, Gregory L. ;
Kronmal, Richard A. ;
Szklo, Moyses ;
Blumenthal, Roger S. ;
Nasir, Khurram .
CIRCULATION, 2016, 133 (09) :849-858
[6]   Associations between C-reactive protein, coronary artery calcium, and cardiovascular events: implications for the JUPITER population from MESA, a population-based cohort study [J].
Blaha, Michael J. ;
Budoff, Matthew J. ;
DeFilippis, Andrew P. ;
Blankstein, Ron ;
Rivera, Juan J. ;
Agatston, Arthur ;
O'Leary, Daniel H. ;
Lima, Joao ;
Blumenthal, Roger S. ;
Nasir, Khurram .
LANCET, 2011, 378 (9792) :684-692
[7]   Assessment of coronary artery disease by cardiac computed tomography - A scientific statement from the American Heart Association committee on cardiovascular imaging and intervention, council on cardiovascular radiology and intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology [J].
Budoff, Matthew J. ;
Achenbach, Stephan ;
Blumenthal, Roger S. ;
Carr, J. Jeffrey ;
Goldin, Jonathan G. ;
Greenland, Philip ;
Guerci, Alan D. ;
Lima, Joao A. C. ;
Rader, Daniel J. ;
Rubin, Geoffrey D. ;
Shaw, Leslee J. ;
Wiegers, Susan E. .
CIRCULATION, 2006, 114 (16) :1761-1791
[8]   Progression of Coronary Calcium and Incident Coronary Heart Disease Events MESA (Multi-Ethnic Study of Atherosclerosis) [J].
Budoff, Matthew J. ;
Young, Rebekah ;
Lopez, Victor A. ;
Kronmal, Richard A. ;
Nasir, Khurram ;
Blumenthal, Roger S. ;
Detrano, Robert C. ;
Bild, Diane E. ;
Guerci, Alan D. ;
Liu, Kiang ;
Shea, Steven ;
Szklo, Moyses ;
Post, Wendy ;
Lima, Joao ;
Bertoni, Alain ;
Wong, Nathan D. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 61 (12) :1231-1239
[9]   Cardiovascular events with absent or minimal coronary calcification: The Multi-Ethnic Study of Atherosclerosis (MESA) [J].
Budoff, Matthew J. ;
McClelland, Robyn L. ;
Nasir, Khurram ;
Greenland, Philip ;
Kronmal, Richard A. ;
Kondos, George T. ;
Shea, Steven ;
Lima, Joao A. C. ;
Blumenthal, Roger S. .
AMERICAN HEART JOURNAL, 2009, 158 (04) :554-561
[10]   Coronary Calcium Predicts Events Better With Absolute Calcium Scores Than Age-Sex-Race/Ethnicity Percentiles MESA (Multi-Ethnic Study of Atherosclerosis) [J].
Budoff, Matthew J. ;
Nasir, Khurram ;
McClelland, Robyn L. ;
Detrano, Robert ;
Wong, Nathan ;
Blumenthal, Roger S. ;
Kondos, George ;
Kronmal, Richard A. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 53 (04) :345-352