Clinical indications for coronary artery calcium scoring in asymptomatic patients: Expert consensus statement from the Society of Cardiovascular Computed Tomography

Harvey Hecht; Michael J Blaha; Daniel S Berman; Khurram Nasir; Matthew Budoff; Jonathon Leipsic; Ron Blankstein; Jagat Narula; John Rumberger; Leslee J Shaw

doi:10.1016/j.jcct.2017.02.010

Clinical indications for coronary artery calcium scoring in asymptomatic patients: Expert consensus statement from the Society of Cardiovascular Computed Tomography

J Cardiovasc Comput Tomogr. 2017 Mar-Apr;11(2):157-168. doi: 10.1016/j.jcct.2017.02.010. Epub 2017 Feb 24.

Authors

Affiliations

¹ Division of Cardiology, Icahn School of Medicine at Mount Sinai, Mount Sinai St. Luke's Medical Center, New York, NY, USA. Electronic address: hhecht@aol.com.
² The Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD, USA.
³ Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
⁴ Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, FL, USA.
⁵ Division of Cardiology, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA.
⁶ Department of Medicine and Radiology, University of British Columbia, Vancouver, Canada.
⁷ Non-Invasive Cardiovascular Imaging Program, Departments of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
⁸ Division of Cardiology, Icahn School of Medicine at Mount Sinai, Mount Sinai St. Luke's Medical Center, New York, NY, USA.
⁹ The Princeton Longevity Center, Princeton, NJ, USA.
¹⁰ Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

PMID: 28283309
DOI: 10.1016/j.jcct.2017.02.010

Abstract

This expert consensus statement summarizes the available data regarding the prognostic value of CAC in the asymptomatic population and its ability to refine individual risk prediction, addresses the limitations identified in the current traditional risk factor-based treatment strategies recommended by the 2013 ACC/AHA Prevention guidelines including use of the Pooled Cohort Equations (PCE), and the US Preventive Services Task Force (USPSTF) Recommendation Statement for Statin Use for the Primary Prevention of Cardiovascular Disease in Adults. It provides CAC based treatment recommendations both within the context of the shared decision making model espoused by the 2013 ACC/AHA Prevention guidelines and independent of these guidelines.

Keywords: Coronary artery calcium scoring in asymptomatic patients.

Publication types

Practice Guideline
Review

MeSH terms

Asymptomatic Diseases
Clinical Decision-Making
Computed Tomography Angiography / standards*
Consensus
Coronary Angiography / standards*
Coronary Artery Disease / diagnostic imaging*
Coronary Artery Disease / therapy
Coronary Vessels / diagnostic imaging*
Decision Support Techniques
Humans
Predictive Value of Tests
Prognosis
Risk Factors
Severity of Illness Index
Vascular Calcification / diagnostic imaging*
Vascular Calcification / therapy