Coronary artery calcium scoring

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]

Overview

Coronary Artery Calcium Scoring

Role of CAC score in Clinical Practice

Current Guidelines

Guideline Recommendation
Class Level of Evidence
2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk If after quantitative risk assessment, a risk-based decision is uncertain, one or more of the following tools may be used to aid in decision making: family history, hs-CRP, CAC score or ABI. IIb B
2016 European Guidelines on Cardiovascular Disease Prevention In Clinical Practice CAC may be considered as a risk factor in CV risk assessment in patients with a calculated SCORE risk between 5% to 10%. IIb B
Recommendation
ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR

2010 Appropriate Use Criteria for Cardiac Computed Tomography

CAC would be appropriate in patients with a 10-20% 10-year risk of CHD. Appropriate
CAC would be appropriate in low risk patients (<10% 10-year risk of CHD) with a family history of premature CHD. Appropriate
The usefulness of CAC is uncertain in patients with peripheral arterial disease or other coronary risk equivalents, or have a 10-year CHD risk greater than 20%, or who are 40 or older with diabetes. Uncertain
CAC would be inappropriate in low risk patients (<10% 10-year risk of CHD). Inappropriate

References

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