Role of Coronary Artery Calcium Scoring in Detection of Coronary Artery Disease according to Framingham Risk Score in Populations with Low to Intermediate Risks
Journal of Korean Medical Science
; : 902-908, 2016.
Article
em En
| WPRIM
| ID: wpr-34231
Biblioteca responsável:
WPRO
ABSTRACT
Current guidelines recommend that coronary artery calcium (CAC) screening should only be used for intermediate risk groups (Framingham risk score [FRS] of 10%-20%). The CAC distributions and coronary artery disease (CAD) prevalence in various FRS strata were determined. The benefit to lower risk populations of CAC score-based screening was also assessed. In total, 1,854 participants (aged 40-79 years) without history of CAD, stroke, or diabetes were enrolled. CAC scores of > 0, ≥ 100, and ≥ 300 were present in 33.8%, 8.2%, and 2.9% of the participants, respectively. The CAC scores rose significantly as the FRS grew more severe (P 20% strata were 3.4%, 6.7%, 9.0%, and 11.6% (P 20%; P < 0.05). In conclusion, the yield of screening for significant CAC and occult CAD is low in the very low risk population but it rises in low and intermediate risk populations.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Índice de Gravidade de Doença
/
Doença da Artéria Coronariana
/
Tomografia Computadorizada por Raios X
/
Modelos Logísticos
/
Cálcio
/
Prevalência
/
Análise Multivariada
/
Fatores de Risco
/
Vasos Coronários
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
2016
Tipo de documento:
Article