Key result
Opportunistic coronary artery calcium screening is advocated to improve cardiovascular risk prediction and overcome the costs and limited adoption of dedicated ECG-gated chest CTs.
Opportunistic coronary artery calcium screening may help overcome the limitations and costs associated with dedicated ECG-gated chest CTs for cardiovascular risk prediction.
Coronary artery calcium (CAC) has been established as a powerful predictor of future cardiovascular events, with extensive epidemiological evidence demonstrating that it improves risk prediction over models based on traditional risk factors.[1][2][3] Further, knowledge of presence of CAC can help guide shared decision-making around preventive strategies and encourage medication adherence.4,5 Despite this evidence, CAC scoring has traditionally required dedicated, ECG-gated chest CTs, often with out-of-pocket costs, limiting its widespread adoption in populations who may benefit most.
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Rodríguez et al. (2026) conducted an editorial in Cardiovascular disease risk. Opportunistic Coronary Artery Calcium Screening was evaluated. Opportunistic coronary artery calcium screening is advocated to improve cardiovascular risk prediction and overcome the costs and limited adoption of dedicated ECG-gated chest CTs.
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