The National Lipid Association scientific statement on coronary artery calcium scoring to guide preventive strategies for ASCVD risk reduction

被引：136
作者：
Orringer, Carl E.
Blaha, Michael J.
Blankstein, Ron
Budoff, Matthew J.
Goldberg, Ronald B.
Gill, Edward A.
Maki, Kevin C.
Mehta, Laxmi
Jacobson, Terry A.
机构：
[1] Univ Miami, Miller Sch Med, Cardiovasc Div, Miami, FL 33136 USA
[2] Johns Hopkins Ciccarone Ctr Prevent Heart Dis, Baltimore, MD USA
[3] Harvard Med Sch, Brigham & Womens Hosp, Cardiovasc Div, Boston, MA 02115 USA
[4] Lundquist Inst, Torrance, CA USA
[5] Univ Miami, Diabet Res Inst, Miller Sch Med, Miami, FL 33136 USA
[6] Univ Colorado, Sch Med, Anschutz Campus, Aurora, CO USA
[7] Indiana Univ, Dept Appl Hlth Sci, Sch Publ Hlth, Bloomington, IN 47405 USA
[8] Indiana Univ, Midwest Biomed Res, Bloomington, IN 47405 USA
[9] Ohio State Univ, Columbus, OH 43210 USA
[10] Emory Univ, Dept Med, Atlanta, GA 30322 USA
来源：
JOURNAL OF CLINICAL LIPIDOLOGY | 2021年 / 15卷 / 01期
基金：
美国国家卫生研究院;
关键词：
Coronary artery calcium scoring; Subclinical coronary atherosclerosis; Computed tomography; Atherosclerotic cardiovascular disease risk prediction; HEART-DISEASE EVENTS; ATHEROSCLEROTIC CARDIOVASCULAR-DISEASE; CHOLESTEROL MANAGEMENT GUIDELINES; C-REACTIVE PROTEIN; LONG-TERM RISK; FAMILIAL HYPERCHOLESTEROLEMIA; COMPUTED-TOMOGRAPHY; STATIN ALLOCATION; AMERICAN-COLLEGE; DECISION-MAKING;
D O I：
10.1016/j.jacl.2020.12.005
中图分类号：
R9 [药学];
学科分类号：
1007 ;
摘要：
An Expert Panel of the National Lipid Association reviewed the evidence related to the use of coronary artery calcium (CAC) scoring in clinical practice for adults seen for primary prevention of atherosclerotic cardiovascular disease. Recommendations for optimal use of this test in adults of various races/ethnicities, ages and multiple domains of primary prevention, including those with a 10-year ASCVD risk ,20%, those with diabetes or the metabolic syndrome, and those with severe hypercholesterolemia were provided. Recommendations were also made on optimal timing for repeat calcium scoring after an initial test, use of CAC scoring in those taking statins, and its role in informing the clinician patient discussion on the benefit of aspirin and anti-hypertensive drug therapy. Finally, a vision is provided for the future of coronary calcium scoring. (c) 2020 National Lipid Association. All rights reserved.
引用
收藏
页码：33 / 60
页数：28
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