Coronary calcium score in the initial evaluation of suspected coronary artery disease.
Eva Ringdal PedersenSiren HovlandIman KarajiChrist BergeAbukar Mohamed AliOle Christian LekvenKier Jan KuiperSvein RotevatnTerje Hjalmar LarsenPublished in: Heart (British Cardiac Society) (2022)
In symptomatic patients, CAC=0 correctly ruled out obstructive CAD and high-risk CAD in 98.2% and 99.4% of cases. This large registry-based cross-sectional study supports the incorporation of CAC testing in the early triage of patients with chest pain and as a gatekeeper to further cardiac testing. However, a full CCTA may be needed for safely ruling out obstructive CAD in the youngest patients (<45 years of age).
Keyphrases
- coronary artery disease
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- emergency department
- percutaneous coronary intervention
- cardiovascular disease
- type diabetes
- cardiovascular events
- heart failure
- coronary artery bypass grafting
- pulmonary embolism
- left ventricular
- transcatheter aortic valve replacement
- patient reported