Time for a policy change for coronary artery calcium testing in asymptomatic people?

Journal of the American College of Cardiology

Volumn 58, Issue 16, 2011, Pages 1702-1704

  Greenland, Philip ^a   Polonsky, Tamar S ^b  

^a NORTHWESTERN UNIVERSITY   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

Author keywords

coronary heart disease; cost effectiveness analysis; CT coronary calcium; CT screening; primary prevention

Indexed keywords

CALCIUM; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR;

CARDIOVASCULAR RISK; CLINICAL PRACTICE; CORONARY ARTERY DISEASE; COST EFFECTIVENESS ANALYSIS; HEALTH CARE COST; HEALTH CARE POLICY; HUMAN; MORBIDITY; MORTALITY; NOTE; PATIENT SELECTION; PRIORITY JOURNAL; RISK ASSESSMENT; RISK FACTOR;

EID: 80053637364     PISSN: 07351097     EISSN: 15583597     Source Type: Journal    
DOI: 10.1016/j.jacc.2011.06.048     Document Type: Editorial

References (17)

1. P. Greenland, J.S. Alpert, and G.A. Beller 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines J Am Coll Cardiol 56 2010 e50 e103
2. M. Helfand, D.I. Buckley, and M. Freeman Emerging risk factors for coronary heart disease: a summary of systematic reviews conducted for the U.S. Preventive Services Task Force Ann Intern Med 151 2009 496 507
3. M. Naghavi, E. Falk, and H.S. Hecht From vulnerable plaque to vulnerable patientpart III: executive summary of the Screening for Heart Attack Prevention and Education (SHAPE) Task Force report Am J Cardiol 98 2006 2H 15H
4. Institute of Medicine Initial National Priorities for Comparative Effectiveness Research http://www.iom.edu/Reports/2009/ ComparativeEffectivenessResearchPriorities.aspx October 2009 Accessed October 16, 2009
5. SHAPE task force convenes to review and update SHAPE guideline for heart attack prevention [press release] Society for Heart Attack Prevention and Eradication http://www.shapesociety.org/news-shapetaskforceconvenes.html Accessed May 27, 2011.
6. T.S. Polonsky, R.L. McClelland, and N.W. Jorgensen Coronary artery calcium score and risk classification for coronary heart disease prediction JAMA 303 2010 1610 1616
7. S.E. Elias-Smale, R.V. Proenca, and M.T. Koller Coronary calcium score improves classification of coronary heart disease risk in the elderly: the Rotterdam study J Am Coll Cardiol 56 2010 1407 1414
8. R. Erbel, S. Mohlenkamp, and S. Moebus Coronary risk stratification, discrimination, and reclassification improvement based on quantification of subclinical coronary atherosclerosis: the Heinz Nixdorf Recall study J Am Coll Cardiol 56 2010 1397 1406
9. B.J.H. van Kempen, S. Spronk, and M.T. Koller Comparative effectiveness and cost effectiveness of computed tomography screening for coronary artery calcium in asymptomatic individuals J Am Coll Cardiol 58 2011 1690 1701
10. R.M. van Dam, and W.C. Willett Unmet potential for cardiovascular disease prevention in the United States Circulation 120 2009 1171 1173
11. R.A. Hayward, H.M. Krumholz, D.M. Zulman, J.W. Timbie, and S. Vijan Optimizing statin treatment for primary prevention of coronary artery disease Ann Intern Med 152 2010 69 77
12. A.D. Hingorani, and B.M. Psaty Primary prevention of cardiovascular disease: time to get more or less personal? JAMA 302 2009 2144 2145
13. M.R. Law, and N.J. Wald Risk factor thresholds: their existence under scrutiny BMJ 324 2002 1570 1576 (Pubitemid 34713139)
14. P.M. Ridker, J.E. Buring, N. Rifai, and N.R. Cook Development and validation of improved algorithms for the assessment of global cardiovascular risk in women: the Reynolds Risk Score JAMA 297 2007 611 619
15. P.M. Ridker, N.P. Paynter, N. Rifai, J.M. Gaziano, and N.R. Cook C-reactive protein and parental history improve global cardiovascular risk prediction: the Reynolds Risk Score for men Circulation 118 2008 2243 2251 4p after 2251
16. P.S. Douglas, A. Taylor, and D. Bild Outcomes research in cardiovascular imaging: report of a workshop sponsored by the National Heart, Lung, and Blood Institute Circ Cardiovasc Imaging 2 2009 339 348
17. M.S. Lauer Screening asymptomatic subjects for subclinical atherosclerosis: not so obvious J Am Coll Cardiol 56 2010 106 108