Coronary Artery Calcium Scoring: New Insights into Clinical Interpretation-Lessons from the CAC Consortium

التفاصيل البيبلوغرافية
العنوان: Coronary Artery Calcium Scoring: New Insights into Clinical Interpretation-Lessons from the CAC Consortium
المؤلفون: Omar Dzaye, Siegfried Adelhoefer, Albert D. Osei, S. M. Iftekhar Uddin, Olufunmilayo H. Obisesan, Michael J. Blaha
المصدر: Radiol Cardiothorac Imaging
سنة النشر: 2020
مصطلحات موضوعية: medicine.medical_specialty, business.industry, MEDLINE, nutritional and metabolic diseases, Review, Disease, Internal medicine, cardiovascular system, population characteristics, Medicine, Radiology, Nuclear Medicine and imaging, cardiovascular diseases, Family history, Risk factor, business, Event risk, Coronary atherosclerosis, Coronary Artery Calcium Scoring, Cohort study
الوصف: Coronary artery calcium (CAC) is a highly specific marker for coronary atherosclerosis. The CAC Consortium, a multicenter, retrospective, real-world cohort study, was established to investigate the association between CAC and long-term, cause-specific mortality. This review summarizes findings from CAC Consortium studies published between 2016 and 2020, aiming to demystify CAC as a clinical decision-guiding tool and push the limits of who might benefit from CAC in clinical practice. CAC has been shown to effectively stratify cardiovascular risk across ethnicities irrespective of age, sex, and risk factor burden. In comparison to other widely used risk scores, CAC appears to be most consistent in its ability to add to cardiovascular disease (CVD) event prediction. Beyond risk stratification, CAC has been shown to identify high-risk patient subgroups. While currently recommended only for patients at borderline or intermediate risk by the American College of Cardiology/American Heart Association (10-year atherosclerotic CVD event risk, 5% to < 20%), CAC scoring may also provide value in select young patients aged 30-49 years and in low-risk patients with a family history. While new studies emphasize that patients with a CAC greater than or equal to 1000 be considered a distinct patient group, a CAC of 0 has additionally emerged to be a reliable negative risk factor, identifying patients at low risk of both CVD and non-CVD mortality. © RSNA, 2020.
تدمد: 2638-6135
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::24df706b3d129300120ebffeb36bff5e
https://pubmed.ncbi.nlm.nih.gov/33385165
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....24df706b3d129300120ebffeb36bff5e
قاعدة البيانات: OpenAIRE