Cardiac Society of Australia and New Zealand Position Statement: Coronary Artery Calcium Scoring

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Liew, Gary
Chow, Clara
van Pelt, Niels
Younger, John
Jelinek, Michael
Chan, Jonathan
Hamilton-Craig, Christian
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2017
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Abstract

Coronary Artery Calcium Scoring (CAC) is a non-invasive quantitation of coronary artery calcification using computed tomography (CT). It is a marker of atherosclerotic plaque burden and an independent predictor of future myocardial infarction and mortality.

Coronary Artery Calcium Scoring provides incremental risk information beyond traditional risk calculators (eg. Framingham Risk Score). Its use for risk stratification is confined to primary prevention of cardiovascular events, and can be considered as “individualized coronary risk scoring” for those not considered to be of high or low risk. Medical practitioners should carefully counsel patients prior to CAC. Coronary Artery Calcium Scoring should only be undertaken if an alteration in therapy including embarking on pharmacotherapy is being considered based on the test result.

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Heart, Lung and Circulation

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26

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Cardiovascular medicine and haematology

Cardiology (incl. cardiovascular diseases)

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Public health

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