De-risking primary prevention: role of imaging

Atherosclerotic cardiovascular disease (ASCVD) is a common disease among the general population, and includes four major areas: (1) coronary heart disease (CHD), manifested by stable angina, unstable angina, myocardial infarction (MI), heart failure, and coronary death; (2) cerebrovascular disease,...

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Autores principales:	Ahmed M. Shafter, Kashif Shaikh, Amit Johanis, Matthew J. Budoff
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/bc2d7630e264405c875ee99db8d9d28c
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spelling	oai:doaj.org-article:bc2d7630e264405c875ee99db8d9d28c2021-12-01T00:06:15ZDe-risking primary prevention: role of imaging1753-945510.1177/17539447211051248https://doaj.org/article/bc2d7630e264405c875ee99db8d9d28c2021-11-01T00:00:00Zhttps://doi.org/10.1177/17539447211051248https://doaj.org/toc/1753-9455Atherosclerotic cardiovascular disease (ASCVD) is a common disease among the general population, and includes four major areas: (1) coronary heart disease (CHD), manifested by stable angina, unstable angina, myocardial infarction (MI), heart failure, and coronary death; (2) cerebrovascular disease, manifested by transient ischemia attack and stroke; (3) peripheral vascular disease, manifested by claudication and critical limb ischemia; and (4) aortic atherosclerosis and aortic aneurysm (thoracic and abdominal). CHD remains the leading cause of death for both men and women in the United States. So, it is imperative to identify people at risk of CHD and provide appropriate medical treatment or intervention to prevent serious complications and outcomes including sudden cardiac death. Coronary artery calcification (CAC) is a marker of subclinical coronary artery disease. Therefore, coronary artery calcium score is an important screening method for Coronary artery disease (CAD). In this article, we performed a comprehensive review of current literatures and studies assessing the prognostic value of CAC for future cardiovascular disease (CVD) events. We searched PubMed, MEDLINE, Google Scholar, and Cochrane library. We also reviewed the 2018 American College of Cardiology (ACC)/American Heart Association (AHA) guideline on the assessment of CVD risk. A CAC score of zero corresponds to very low CVD event rates (∼1% per year) and hence a potent negative risk marker. This has been referred to as the ‘power of zero’ and affords the lowest risk of any method of risk calculation. It is now indicated in the 2018 ACC/AHA Cholesterol guidelines to be used to avoid statins for 5–10 years after a score of zero, and then re-assess the patient.Ahmed M. ShafterKashif ShaikhAmit JohanisMatthew J. BudoffSAGE PublishingarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENTherapeutic Advances in Cardiovascular Disease, Vol 15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Ahmed M. Shafter Kashif Shaikh Amit Johanis Matthew J. Budoff De-risking primary prevention: role of imaging
description	Atherosclerotic cardiovascular disease (ASCVD) is a common disease among the general population, and includes four major areas: (1) coronary heart disease (CHD), manifested by stable angina, unstable angina, myocardial infarction (MI), heart failure, and coronary death; (2) cerebrovascular disease, manifested by transient ischemia attack and stroke; (3) peripheral vascular disease, manifested by claudication and critical limb ischemia; and (4) aortic atherosclerosis and aortic aneurysm (thoracic and abdominal). CHD remains the leading cause of death for both men and women in the United States. So, it is imperative to identify people at risk of CHD and provide appropriate medical treatment or intervention to prevent serious complications and outcomes including sudden cardiac death. Coronary artery calcification (CAC) is a marker of subclinical coronary artery disease. Therefore, coronary artery calcium score is an important screening method for Coronary artery disease (CAD). In this article, we performed a comprehensive review of current literatures and studies assessing the prognostic value of CAC for future cardiovascular disease (CVD) events. We searched PubMed, MEDLINE, Google Scholar, and Cochrane library. We also reviewed the 2018 American College of Cardiology (ACC)/American Heart Association (AHA) guideline on the assessment of CVD risk. A CAC score of zero corresponds to very low CVD event rates (∼1% per year) and hence a potent negative risk marker. This has been referred to as the ‘power of zero’ and affords the lowest risk of any method of risk calculation. It is now indicated in the 2018 ACC/AHA Cholesterol guidelines to be used to avoid statins for 5–10 years after a score of zero, and then re-assess the patient.
format	article
author	Ahmed M. Shafter Kashif Shaikh Amit Johanis Matthew J. Budoff
author_facet	Ahmed M. Shafter Kashif Shaikh Amit Johanis Matthew J. Budoff
author_sort	Ahmed M. Shafter
title	De-risking primary prevention: role of imaging
title_short	De-risking primary prevention: role of imaging
title_full	De-risking primary prevention: role of imaging
title_fullStr	De-risking primary prevention: role of imaging
title_full_unstemmed	De-risking primary prevention: role of imaging
title_sort	de-risking primary prevention: role of imaging
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/bc2d7630e264405c875ee99db8d9d28c
work_keys_str_mv	AT ahmedmshafter deriskingprimarypreventionroleofimaging AT kashifshaikh deriskingprimarypreventionroleofimaging AT amitjohanis deriskingprimarypreventionroleofimaging AT matthewjbudoff deriskingprimarypreventionroleofimaging
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De-risking primary prevention: role of imaging

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