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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Coronary calcium screening and coronary risk stratification
1Section of Cardiology, Tulane University School of Medicine, 1430 Tulane Avenue, SL48, New Orleans, LA 70112-2699, USA. praggi@tulane.edu
Insights
Preventing cardiovascular disease is crucial. Electron beam tomography can detect coronary artery calcification, aiding in early risk stratification for coronary artery disease events in the general population.
Area of Science:
- Cardiology
- Preventive Medicine
- Medical Imaging
Background:
- Cardiovascular disease (CVD) is a leading cause of death, with over 7 million Americans affected by coronary artery disease (CAD) annually.
- Atherosclerosis, the underlying cause of most CAD events, often presents suddenly as myocardial infarction or stroke.
- Current preventive strategies and physician attitudes are insufficient, and traditional risk factors do not identify all individuals at risk.
Purpose of the Study:
- To review the literature on electron beam tomography (EBT) for detecting coronary artery calcification (CAC).
- To evaluate the utility of CAC detection via EBT for risk stratification of CAD events in the general population.
- To explore methods for modifying the natural history of preclinical atherosclerotic disease.
Main Methods:
- Literature review focusing on electron beam tomography (EBT) for coronary artery calcification (CAC) detection.
- Analysis of EBT's role in risk stratification for coronary artery disease (CAD) events.
- Examination of studies assessing the modification of atherosclerotic disease progression.
Main Results:
- Electron beam tomography (EBT) is a valuable tool for detecting coronary artery calcification (CAC).
- CAC detection via EBT aids in risk stratification for coronary artery disease (CAD) events.
- Early identification of preclinical atherosclerosis through CAC scoring can inform preventive strategies.
Conclusions:
- Electron beam tomography (EBT) offers a promising approach for identifying individuals at risk of coronary artery disease (CAD) through coronary artery calcification (CAC) detection.
- Risk stratification using CAC scoring can facilitate earlier and more targeted preventive interventions.
- Further utilization of EBT for CAC detection is recommended for improving cardiovascular disease prevention efforts.
Abstract:
Current vital statistics clearly indicate a continuing epidemic of cardiovascular disease in the Western hemisphere and strongly suggest that the most desirable approach to this ailment is prevention rather than delayed treatment. Over 7 million people in the United States suffer from coronary artery disease and more than 500,000 die from its complications annually. In the majority of cases, the event announcing the presence of atherosclerosis is either sudden death or a disabling myocardial infarction or stroke. Though recent trials indicate a need for treatment of very large segments of the population, a review of current clinical practices indicates that the preventive attitude of the majority of physicians is not sufficiently developed and remains limited in most training programs. Additionally, although traditional risk factors are very helpful in predicting the development of cardiovascular disease, many individuals suffer events in the absence of established risk factors for atherosclerosis. To meet the challenge of coronary artery disease, several tools have been developed to identify atherosclerotic disease in its preclinical stages, with the hope of modifying its natural history. In this article, we review the current literature on utilization of electron beam tomography for detection of coronary artery calcification as a tool to conduct risk stratification for coronary artery disease events in the general population.
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