Coronary artery calcium scoring

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]

Current Guidelines

Guideline	Recommendation	ACC AHA guidelines classification scheme	Level of Evidence
2010 ACCF/AHA Guideline for Assessment of Cardiovascular Risk in Asymptomatic Adults	Measurement of CAC is reasonable for cardiovascular risk assessment in asymptomatic adults at intermediate risk (10% to 20% 10-year risk of CHD)	IIa	B
	In adults with diabetes and are 40 years or older, measurement of CAC is reasonable for cardiovascular risk assessment.	IIa	B
	Measurement of CAC is reasonable for cardiovascular risk assessment in patients with a low to intermediate risk of CHD (6% to 10% 10-year risk)	IIb	B
	Persons at low risk (<6% 10-year risk of CHD) should not undergo CAC measurement for cardiovascular risk assessment.	III	B