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Updated: Feb 11, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Cardiovascular Disease Progression: A Target for Therapy?
1Cardiovascular Division, University of Minnesota Medical School, Minneapolis.
Insights
This study highlights the importance of targeting cardiovascular disease progression, not just risk factors. A comprehensive noninvasive assessment revealed a strong link between a Disease Score and future cardiovascular events.
Area of Science:
- Cardiology
- Preventive Medicine
- Medical Diagnostics
Background:
- Clinical research for cardiovascular disease prevention primarily targets risk factors.
- Disease progression, a precursor to morbid events, is often overlooked as a therapeutic target.
Purpose of the Study:
- To evaluate the utility of a comprehensive noninvasive cardiovascular assessment in individuals without prior cardiovascular disease.
- To explore the relationship between a composite Disease Score and the risk of future cardiovascular events.
Main Methods:
- Conducted a noninvasive cardiovascular evaluation over 1 hour in a single setting.
- Assessed functional and structural abnormalities in small arteries, large arteries, and the left ventricle.
- Calculated a Disease Score based on the sum of abnormal test results.
Main Results:
- Preliminary follow-up data show a significant correlation between the Disease Score and the incidence of future morbid events.
- The comprehensive assessment provides a detailed view of cardiovascular abnormalities in asymptomatic individuals.
Conclusions:
- Focusing on slowing cardiovascular disease progression in early stages is crucial for prolonging disease-free life expectancy.
- Noninvasive assessments can identify individuals at risk and guide therapeutic strategies.
Abstract:
Clinical research aimed at preventing cardiovascular disease has focused on the effect of interventions to reduce risk factors on the incidence of future morbid events. Disease progression, which likely serves as a necessary prerequisite for morbid events, has not served as a target for therapy. The Rasmussen Center at the University of Minnesota has, for the past 18 years, been performing a noninvasive cardiovascular evaluation in individuals with no history of cardiovascular disease. The studies, performed in 1 hour in one room, provide a comprehensive noninvasive assessment of the severity of functional and structural abnormalities in the small arteries, the large arteries and the left ventricle, the target organs for most cardiovascular morbid events. Preliminary follow-up data have revealed a striking relationship between the Disease Score, which represents the sum of the abnormal tests, and the risk of future morbid events. In order to develop strategies to prolong cardiovascular disease-free life expectancy, studies in early stages of disease aimed at slowing disease progression should be encouraged.
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