Selective Use of Coronary Artery Calcium Screening. Worth the Cost?

Journal of the American College of Cardiology

Volumn 54, Issue 14, 2009, Pages 1268-1270

  Blumenthal, Roger S ^a   Hwang, Chao Wei ^a   Nasir, Khurram ^a  

^a JOHNS HOPKINS UNIVERSITY   (United States)

Author keywords

atherosclerosis; computed tomography; coronary artery calcium; coronary artery disease; costs; screening

Indexed keywords

ACETYLSALICYLIC ACID; CALCIUM; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR;

ANGIOCARDIOGRAPHY; ATHEROSCLEROSIS; CALCIFICATION; CLINICAL TRIAL; CORONARY ARTERY; CORONARY ARTERY CALCIFICATION; CORONARY ARTERY CALCIUM SCREENING; CORONARY ARTERY DISEASE; COST OF ILLNESS; COST UTILITY ANALYSIS; DIAGNOSTIC IMAGING; EDITORIAL; HEALTH CARE COST; HEART INFARCTION; HUMAN; INVASIVE PROCEDURE; PRIORITY JOURNAL; RESOURCE ALLOCATION; REVASCULARIZATION; RISK ASSESSMENT; RISK FACTOR; SCREENING;

CALCINOSIS; CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; COSTS AND COST ANALYSIS; ECHOCARDIOGRAPHY, STRESS; HUMANS; MASS SCREENING;

EID: 70349189346     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacc.2009.07.017     Document Type: Editorial

References (14)

1. Akosah K.O., Gower E., Groon L., Rooney B.L., and Schaper A. Mild hypercholesterolemia and premature heart disease: do the national criteria underestimate disease risk?. J Am Coll Cardiol 35 (2000) 1178-1184
2. Blumenthal R.S., Michos E.D., and Nasir K. Further improvements in CHD risk prediction for women. JAMA 297 (2007) 641-643
3. Budoff M.J., Achenbach S., Blumenthal R.S., et al. Assessment of coronary artery disease by cardiac computed tomography: a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation 114 (2006) 1761-1791
4. Sarwar A., Shaw L.J., Shapiro M.D., et al. Diagnostic and prognostic value of absence of coronary artery calcification. J Am Coll Cardiol Img 2 (2009) 675-688
5. Blaha M., Budoff M.J., Shaw L.J., et al. Absence of coronary artery calcification and all-cause mortality. J Am Coll Cardiol Img 2 (2009) 692-700
6. Ambrose M.S., Nagy C.D., and Blumenthal R.S. Selective use of coronary calcification measurements in an expanded intermediate risk group. J Cardiovasc Comput Tomogr 2 (2008) 209-213
7. Lloyd-Jones D., Adams R., Carnethon M., et al. Heart disease and stroke statistics-2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 119 (2009) 480-486
8. Shaw L.J., Min J.K., Budoff M., et al. Induced cardiovascular procedural costs and resource consumption patterns after coronary artery calcium screening: results from the EISNER (Early Identification of Subclinical Atherosclerosis by Noninvasive Imaging Research) study. J Am Coll Cardiol 54 (2009) 1258-1267
9. Redberg R.F. Coronary artery calcium: should we rely on this surrogate marker?. Circulation 113 (2006) 336-337
10. Coylewright M., Blumenthal R.S., and Post W. Placing COURAGE in context: review of the recent literature on managing stable coronary artery disease. Mayo Clin Proc 83 (2008) 799-805
11. Boden W.E., O'Rourke R.A., Teo K.K., et al. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med 356 (2007) 1503-1516
12. Detrano R., Guerci A.D., Carr J.J., et al. Coronary calcium as a predictor of coronary events in four racial or ethnic groups. N Engl J Med 358 (2008) 1336-1345
13. Sever P.S., Dahlof B., Poulter N.R., et al. Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian Cardiac Outcomes Trial-Lipid Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial. Lancet 361 (2003) 1149-1158
14. Folsom A.R., Kronmal R.A., Detrano R.C., et al. Coronary artery calcification compared with carotid intima-media thickness in the prediction of cardiovascular disease incidence: the Multi-Ethnic Study of Atherosclerosis (MESA). Arch Intern Med 168 (2008) 1333-1339