Coronary artery calcium scoring: Difference between revisions
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{| class="wikitable" | {| class="wikitable" | ||
! Guideline | ! Guideline | ||
! Recommendation | ! colspan="3" | Recommendation | ||
|- | |- | ||
| | | colspan="2" | | ||
| Class | |||
| Level of Evidence | |||
|- | |||
| 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk | |||
| If after quantitative risk assessment, a risk-based decision is uncertain, one or more of the following tools may be used to aid in decision making: family history, hs-CRP, CAC score or ABI. | | If after quantitative risk assessment, a risk-based decision is uncertain, one or more of the following tools may be used to aid in decision making: family history, hs-CRP, CAC score or ABI. | ||
| IIb | | IIb | ||
| B | | B | ||
|- | |- | ||
|2016 European Guidelines on Cardiovascular Disease Prevention In Clinical Practice | | 2016 European Guidelines on Cardiovascular Disease Prevention In Clinical Practice | ||
|CAC | | CAC may be considered as a risk factor in CV risk assessment in patients with a calculated SCORE risk between 5% to 10%. | ||
| | | IIb | ||
| | | B | ||
|- | |||
| colspan="2" | | |||
| colspan="2" | Recommendation | |||
|- | |||
| rowspan="4" | ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR | |||
2010 Appropriate Use Criteria | |||
for Cardiac Computed Tomography | |||
| CAC would be appropriate in patients with a 10-20% 10-year risk of CHD. | |||
| colspan="2" | Appropriate | |||
|- | |||
| CAC would be appropriate in low risk patients (<10% 10-year risk of CHD) with a family history of premature CHD. | |||
| colspan="2" | Appropriate | |||
|- | |||
| The usefulness of CAC is uncertain in patients with peripheral arterial disease or other coronary risk equivalents, or have a 10-year CHD risk greater than 20%, or who are 40 or older with diabetes. | |||
| colspan="2" | Uncertain | |||
|- | |- | ||
| | | CAC would be inappropriate in low risk patients (<10% 10-year risk of CHD). | ||
| | | colspan="2" | Inappropriate | ||
| | |||
|} | |} | ||
Revision as of 04:02, 24 August 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
Coronary Artery Calcium Scoring
Role of CAC score in Clinical Practice
Current Guidelines
| Guideline | Recommendation | ||
|---|---|---|---|
| Class | Level of Evidence | ||
| 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk | If after quantitative risk assessment, a risk-based decision is uncertain, one or more of the following tools may be used to aid in decision making: family history, hs-CRP, CAC score or ABI. | IIb | B |
| 2016 European Guidelines on Cardiovascular Disease Prevention In Clinical Practice | CAC may be considered as a risk factor in CV risk assessment in patients with a calculated SCORE risk between 5% to 10%. | IIb | B |
| Recommendation | |||
| ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR
2010 Appropriate Use Criteria for Cardiac Computed Tomography |
CAC would be appropriate in patients with a 10-20% 10-year risk of CHD. | Appropriate | |
| CAC would be appropriate in low risk patients (<10% 10-year risk of CHD) with a family history of premature CHD. | Appropriate | ||
| The usefulness of CAC is uncertain in patients with peripheral arterial disease or other coronary risk equivalents, or have a 10-year CHD risk greater than 20%, or who are 40 or older with diabetes. | Uncertain | ||
| CAC would be inappropriate in low risk patients (<10% 10-year risk of CHD). | Inappropriate | ||