Coronary risk assessment using traditional risk factors with CT coronary artery calcium scoring in clinical practice

被引:5
作者
Kerut, Edmund Kenneth [1 ,2 ]
Hall, Michael E. [1 ]
Turner, Michael C. [3 ]
McMullan, Michael R. [1 ]
机构
[1] Univ Mississippi, Sch Med, Dept Med, Div Cardiovasc Dis, Jackson, MS USA
[2] Heart Clin Louisiana, Marrero, LA 70072 USA
[3] Cardiovasc Specialists 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
computed tomography; prevention; BEAM COMPUTED-TOMOGRAPHY; ASSOCIATION TASK-FORCE; HEART-DISEASE; CARDIOVASCULAR EVENTS; PRIMARY PREVENTION; STATIN THERAPY; ASYMPTOMATIC PATIENTS; IONIZING-RADIATION; AMERICAN-COLLEGE; PROGNOSTIC VALUE;
D O I
10.1111/echo.14091
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
As coronary artery calcium (CAC) is atherosclerosis and not just a marker of cardiovascular (CV) disease, measurement of a patient's coronary artery calcium score (CACS) is a strong predictor of risk. Clinically performed in asymptomatic patients, the CACS, along with several CV risk factors, namely age, sex, ethnicity, diabetes, tobacco use, family history, cholesterol level, blood pressure, and use of cholesterol or hypertensive medications, provide a predictive model of 10 year risk for CV events. Asmartphone App makes this quick to obtain and use. This helps the clinician in making recommendations for both lifestyle changes and statin therapy. Those patients in which the most benefit occur from measurement of a CACS are those at an intermediate CV risk. Measurement of the CACS has become an integral part of the clinician's assessment of a patient's CV risk and for guiding preventative therapies.
引用
收藏
页码:1216 / 1222
页数:7
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