Key result
Systemic screening for coronary artery disease using CT coronary angiography is advocated to identify resolvable non-calcific plaques and decrease the economic burden of cardiovascular disease.
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The authors advocate for systemic CT coronary angiography screening to identify vulnerable non-calcific plaques for targeted intensive statin therapy to prevent acute coronary events.
Cardio-vascular disease (CVD) is one of the major causes of morbidity and mortality in Europe and world. It accounts for majority of spend on healthcare in European Union countries and is the second on the list. Non-calcific plaques form the majority of plaques and non-calcific & mixed plaques are responsible for majority cases of severe stenosis. Since non-calcific and mixed plaques are resolvable by intensive statin therapy and are responsible for majority of severe acute coronary related events (vulnerable plaques), coronary artery disease is preventable if proper screening is done which should lead to significant decrease in economic burden of cardio-vascular & cerebro-vascular diseases. These findings warrant a discussion on systemic screening program for the same through CT coronary angiography.
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Abhinav Aggarwal (2018) conducted an editorial in Coronary Artery Disease. CT coronary angiography screening was evaluated. Systemic screening for coronary artery disease using CT coronary angiography is advocated to identify resolvable non-calcific plaques and decrease the economic burden of cardiovascular disease.
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