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September 21, 2020European Heart Journal - Cardiovascular Imaging

Prevention of sudden death: the role of coronary artery calcification imaging in preventive cardiology

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Why the study?

Does coronary artery calcium scoring improve risk stratification and alter preventive treatment allocation compared to traditional SCORE assessment in asymptomatic subjects?

Design

Editorial

Authors

RERaimund Erbel

Discussion

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Overview

May reduce unnecessary preventive therapy allocation; leaves open whether CAC-based strategies improve outcomes over SCORE.

Structured PICO

Does coronary artery calcium scoring improve risk stratification and alter preventive treatment allocation compared to traditional SCORE assessment in asymptomatic subjects?

P
Population
43,561 asymptomatic subjects in the Netherlands (from the ROBINSCA trial)
I
Intervention
Coronary artery calcium (CAC) scoring for risk stratification and preventive treatment allocation
C
Comparator
Traditional risk factor assessment using the European Systemic Coronary Risk Evaluation (SCORE) arm, and a control arm without any intervention

CAC imaging in asymptomatic individuals classifies a significantly larger proportion of patients as low risk compared to traditional risk scores, potentially reducing the overprescription of preventive medications.

Cite This Study

Raimund Erbel (2020) studied this question.

synapsesocial.com/papers/6a84069885a95bb87468bbd2https://doi.org/10.1093/ehjci/jeaa215
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