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April 1, 2008Vascular Health and Risk ManagementOpen Access

Patients with increased coronary artery calcium are approximately ten times more likely to suffer a cardiac event over the next 3-5 years, outperforming conventional risk factors, hs-CRP, and carotid IMT.

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Why the study?

Does coronary artery calcium (CAC) measurement improve the prediction of cardiovascular events in asymptomatic intermediate-risk patients compared to traditional risk factors?

Population

Asymptomatic patients, particularly those at intermediate risk

Comparison

Coronary artery calcium measurement using… vs Traditional risk assessment, highly sensitive…

Design

Review

Authors

MBMatthew J. Budoff

Discussion

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Overview

May aid intermediate-risk stratification beyond traditional factors; leaves open prospective outcome trials before routine adoption.

Structured PICO

Does coronary artery calcium (CAC) measurement improve the prediction of cardiovascular events in asymptomatic intermediate-risk patients compared to traditional risk factors?

P
Population
Asymptomatic patients, particularly those at intermediate risk (10%-20% ten year risk of future cardiovascular event)
I
Intervention
Coronary artery calcium (CAC) measurement using cardiac CT
C
Comparator
Traditional risk assessment (Framingham risk score), highly sensitive C-reactive protein (CRP), and carotid intima media thickness (IMT)
O
Outcome
Prediction of cardiovascular events

Coronary artery calcium scoring provides incremental predictive value over traditional risk factors for cardiovascular events, particularly benefiting the risk stratification of intermediate-risk patients.

Cite This Study

Matthew J. Budoff (2008) studied this question.

synapsesocial.com/papers/6a0270ee6190d6c27d061ec5https://doi.org/10.2147/vhrm.s1160
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