July 4, 2000Circulation
American College of Cardiology/American Heart Association Expert Consensus Document on Electron-Beam Computed Tomography for the Diagnosis and Prognosis of Coronary Artery Disease
Robert A. O’RourkeBruce H. BrundageVictor F. FroelicherPhilip GreenlandScott M. GrundyRory HachamovitchGerald M. PohostLeslee J. ShawWilliam WeintraubWilliam L. WintersJames S. ForresterPamela S. DouglasDavid P. FaxonJohn D. FisherGabriel GregoratosJudith S. HochmanAdolph M. HutterSanjiv KaulRobert A. O’RourkeWilliam WeintraubWilliam L. WintersMichael J. Wolk
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“I came to this as a major skeptic about coronary calcium, and only after seeing some data did I come to believe that coronary calcium might actually have clinical impact. But even with coronary calcium, I think we're too early in the evaluation process to recommend routine use beyond standard risk measurement.”
“EBCT should be reserved for patients whose heart disease risk status is uncertain.”
“The test does what it does very well—it detects calcium. It's a marker of atherosclerosis and ergo a marker of higher risk.”
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O’Rourke et al. (2000) studied this question.