The role of cardiovascular CT in occupational health assessment for coronary heart disease: An expert consensus document from the Society of Cardiovascular Computed Tomography (SCCT)

被引:8
作者
Slim, Ahmad M. [1 ]
Fentanes, Emilio [2 ]
Cheezum, Michael K. [3 ]
Parsons, Iain T. [4 ]
Maroules, Christopher [5 ]
Chen, Billy [6 ]
Abbara, Suhny [7 ]
Branch, Kelley [8 ]
Nagpal, Prashant [9 ]
Shah, Nishant R. [10 ]
Thomas, Dustin M. [3 ]
Villines, Todd C. [11 ]
Blankstein, Ron [12 ]
Shaw, Leslee J. [13 ]
Budoff, Matthew [14 ]
Nicol, Ed [15 ]
机构
[1] Pulse Heart Inst, Tacoma, WA USA
[2] Tripler Army Med Ctr, Honolulu, HI 96859 USA
[3] Parkview Res Ctr, Parkview Hlth, Ft Wayne, IN USA
[4] Kings Coll London, London, England
[5] Naval Med Ctr Portsmouth, Portsmouth, VA USA
[6] Cedars Sinai Med Ctr, Baldwin Pk, CA USA
[7] Univ Texas Southwestern Med Ctr Dallas, Dallas, TX 75390 USA
[8] Univ Washington, Seattle, WA 98195 USA
[9] Univ Iowa Hosp & Clin, Iowa City, IA 52242 USA
[10] Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA
[11] Univ Virginia Hlth Syst, Charlottesville, VA USA
[12] Harvard Med Sch, Brigham & Womens Hosp, Boston, MA 02115 USA
[13] Weill Cornell Sch Med, New York, NY USA
[14] Lundquist Inst, Torrance, CA USA
[15] Royal Brampton Hosp, London, England
关键词
Occupational health; Atherosclerosis; Adverse cardiac events; Coronary artery disease; Prevalence; Outcomes; Screening; Computed tomography; Coronary angiography; APPROPRIATE USE CRITERIA; ARTERY-DISEASE; RISK-FACTORS; SUDDEN-DEATH; MYOCARDIAL-INFARCTION; PROGNOSTIC VALUE; POLICE OFFICERS; CALCIUM SCORE; US MILITARY; TASK-FORCE;
D O I
10.1016/j.jcct.2021.03.010
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In response to the increasing application of cardiovascular computed tomography (cardiovascular CT), the Society of Cardiovascular Computed Tomography (SCCT) guidelines committee has produced this document to guide the use of cardiac CT in the risk assessment of coronary artery disease (CAD) in occupational health evaluation. The purpose of this document is to support quality care given to individuals who undergo occupational health evaluation for the diagnosis of CAD. This document reviews evidence regarding the prevalence of coronary artery disease (CAD), the incidence of major adverse cardiac events (MACE), and the recommendations for enhanced cardiovascular screening and investigation for CAD evaluation amongst safety sensitive occupations. This document examines occupation risk categories where cardiac CT may be appropriate to investigate for CAD and evaluates available testing strategies for risk assessment.
引用
收藏
页码:290 / 303
页数:14
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