Coronary risk assessment using traditional risk factors with computed tomography coronary artery calcium scoring: Illustrative cases

被引：2
作者：
Kerut, Edmund K. [1 ,2 ]
Hebert, Renee [2 ]
Hall, Michael E. [1 ]
Turner, Michael C. [3 ]
McMullan, Michael R. [1 ]
机构：
[1] Univ Mississippi, Sch Med, Dept Med, Dept Cardiovasc Dis, Jackson, MS USA
[2] Heart Clin Louisiana, 1111 Med Ctr Blvd,Suite N613, Marrero, LA 70072 USA
[3] Cardiovasc Specialist Southwest Louisiana, Lake Charles, LA USA
来源：
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 2018年 / 35卷 / 08期
关键词：
CAC; coronary risk; CARDIOVASCULAR EVENTS; ASYMPTOMATIC PATIENTS; PRIMARY PREVENTION; STATIN THERAPY; CALCIFICATION; ATHEROSCLEROSIS; ASSOCIATION; PREDICTION; MANAGEMENT; INITIATION;
D O I：
10.1111/echo.14099
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A patient's coronary artery calcium score (CACS) is a strong independent predictor of cardiovascular risk. Used in conjunction with traditional measures of risk, the CACS helps the clinician discuss cardiovascular (CV) risk and recommend therapies with the patient. We present several cases in which measurement of the CACS and traditional risk factors were used to help guide the clinician-patient conversation and guide therapies.
引用
收藏
页码：1223 / 1226
页数：4
相关论文
共 30 条
[1]   QUANTIFICATION OF CORONARY-ARTERY CALCIUM USING ULTRAFAST COMPUTED-TOMOGRAPHY [J].
AGATSTON, AS ;
JANOWITZ, WR ;
HILDNER, FJ ;
ZUSMER, NR ;
VIAMONTE, M ;
DETRANO, R .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1990, 15 (04) :827-832
[2]   Establishing the warranty of a coronary artery calcium score of zero [J].
Al Rifai, Mahmoud ;
Cainzos-Achirica, Miguel ;
Blaha, Michael J. .
ATHEROSCLEROSIS, 2015, 238 (01) :1-3
[3]   Multi-ethnic study of atherosclerosis: Objectives and design [J].
Bild, DE ;
Bluemke, DA ;
Burke, GL ;
Detrano, R ;
Roux, AVD ;
Folsom, AR ;
Greenland, P ;
Jacobs, DR ;
Kronmal, R ;
Liu, K ;
Nelson, JC ;
O'Leary, D ;
Saad, MF ;
Shea, S ;
Szklo, M ;
Tracy, RP .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2002, 156 (09) :871-881
[4]   Is There a Role for Coronary Artery Calcium Scoring for Management of Asymptomatic Patients at Risk for Coronary Artery Disease? [J].
Blaha, Michael J. ;
Silverman, Michael G. ;
Budoff, Matthew J. .
CIRCULATION-CARDIOVASCULAR IMAGING, 2014, 7 (02) :398-408
[5]   Using Trial Eligibility to Personalize Statin Therapy Appears No More Accurate Than a Coin Flip in Determining High-Risk Status [J].
Blumenthal, Roger S. ;
Aslam, M. Imran ;
McEvoy, J. William .
JACC-CARDIOVASCULAR IMAGING, 2018, 11 (02) :231-233
[6]   MY APPROACH to risk assessment of asymptomatic patients [J].
Budoff, Matthew J. .
TRENDS IN CARDIOVASCULAR MEDICINE, 2016, 26 (02) :204-204
[7]   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
[8]   CT-Detected Growth of Coronary Artery Calcification in Asymptomatic Middle-Aged Subjects and Association With 15 Biomarkers [J].
Diederichsen, Soren Zoga ;
Gronhoj, Mette Hjortdal ;
Mickley, Hans ;
Gerke, Oke ;
Steffensen, Flemming Hald ;
Lambrechtsen, Jess ;
Sand, Niels Peter Ronnow ;
Rasmussen, Lars Melholt ;
Olsen, Michael Hecht ;
Diederichsen, Axel .
JACC-CARDIOVASCULAR IMAGING, 2017, 10 (08) :858-866
[9]  
Goff DC., 2014, CIRCULATION, V129, P49, DOI [DOI 10.1161/01.CIR.0000437741.48606, 10.1161/01.cir.0000437741.48606, 10.1161/01.cir.0000437741.48606.98, DOI 10.1161/01.CIR.0000437741.48606.98]
[10]   2010 ACCF/AHA Guideline for Assessment of Cardiovascular Risk in Asymptomatic Adults A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines [J].
Greenland, Philip ;
Alpert, Joseph S. ;
Beller, George A. ;
Benjamin, Emelia J. ;
Budoff, Matthew J. ;
Fayad, Zahi A. ;
Foster, Elyse ;
Hlatky, Mark. A. ;
Hodgson, John Mc B. ;
Kushner, Frederick G. ;
Lauer, Michael S. ;
Shaw, Leslee J. ;
Smith, Sidney C., Jr. ;
Taylor, Allen J. ;
Weintraub, William S. ;
Wenger, Nanette K. ;
Jacobs, Alice K. ;
Anderson, Jeffrey L. ;
Albert, Nancy ;
Buller, Christopher E. ;
Creager, Mark A. ;
Ettinger, Steven M. ;
Guyton, Robert A. ;
Halperin, Jonathan L. ;
Hochman, Judith S. ;
Kushner, Frederick G. ;
Nishimura, Rick ;
Ohman, E. Magnus ;
Page, Richard L. ;
Stevenson, William G. ;
Tarkington, Lynn G. ;
Yancy, Clyde W. ;
Lewin, John C. ;
May, Charlene ;
Bradfield, Lisa ;
Keller, Sue ;
Barrett, Erin A. ;
Denton, Beth ;
Brown, Nancy ;
Whitman, Gayle R. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 56 (25) :E50-E103
123