The Evolving View of Coronary Artery Calcium: A Personalized Shared Decision-Making Tool in Primary Prevention
Joint Authors
Blaha, Michael J.
Dzaye, Omar
Reiter-Brennan, Cara
Osei, Albert D.
Orimoloye, Olusola A.
Uddin, S. M. Iftekhar
Mirbolouk, Mohammadhassan
Source
Cardiology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The 2018 American Heart Association and American College of Cardiology (AHA/ACC) cholesterol management guideline considers current evidence on coronary artery calcium (CAC) testing while incorporating learnings from previous guidelines.
More than any previous guideline update, this set encourages CAC testing to facilitate shared decision making and to individualize treatment plans.
An important novelty is further separation of risk groups.
Specifically, the current prevention guideline recommends CAC testing for primary atherosclerotic cardiovascular disease (ASCVD) prevention among asymptomatic patients in borderline and intermediate risk groups (5–7.5% and 7.5–20% 10-year ASCVD risk).
This additional sub-classification reflects the uncertainty of treatment strategies for patients broadly considered to be “intermediate risk,” as treatment recommendations for high and low risk groups are well established.
The 2018 guidelines, for the first time, clearly recognize the significance of a CAC score of zero, where intensive statin therapy is likely not beneficial and not routinely recommended in selected patients.
Lifestyle modification should be the focus in patients with CAC = 0.
In this article, we review the recent AHA/ACC cholesterol management guideline and contextualize the transition of CAC testing to a guideline-endorsed decision aid for borderline-to-intermediate risk patients who seek more definitive risk assessment as part of a clinician-patient discussion.
CAC testing can reduce low-value treatment and focus primary prevention therapy on those most likely to benefit.
American Psychological Association (APA)
Dzaye, Omar& Reiter-Brennan, Cara& Osei, Albert D.& Orimoloye, Olusola A.& Uddin, S. M. Iftekhar& Mirbolouk, Mohammadhassan…[et al.]. 2019. The Evolving View of Coronary Artery Calcium: A Personalized Shared Decision-Making Tool in Primary Prevention. Cardiology Research and Practice،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1146052
Modern Language Association (MLA)
Dzaye, Omar…[et al.]. The Evolving View of Coronary Artery Calcium: A Personalized Shared Decision-Making Tool in Primary Prevention. Cardiology Research and Practice No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1146052
American Medical Association (AMA)
Dzaye, Omar& Reiter-Brennan, Cara& Osei, Albert D.& Orimoloye, Olusola A.& Uddin, S. M. Iftekhar& Mirbolouk, Mohammadhassan…[et al.]. The Evolving View of Coronary Artery Calcium: A Personalized Shared Decision-Making Tool in Primary Prevention. Cardiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1146052
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146052