Back to Journals » Vascular Health and Risk Management » Volume 6

Using noncontrast cardiac CT and coronary artery calcification measurements for cardiovascular risk assessment and management in asymptomatic adults

Authors Rumberger J

Published 7 July 2010 Volume 2010:6 Pages 579—591

DOI https://doi.org/10.2147/VHRM.S7457

Review by Single anonymous peer review

Peer reviewer comments 5



John A Rumberger

The Mayo Clinic and Foundation Director of Cardiac Imaging The Princeton Longevity Center, Princeton, NJ, USA

Abstract: The presence of mural calcification has, for decades, been recognized as a marker for atheromatous plaque in the coronary arteries and the aorta, but only in the past decade has the application of noncontrast computed tomography (CT) been shown to be a reproducible, safe, and convenient test, which now is available worldwide. However, awareness of coronary artery calcium scanning is insufficient and the practitioner must be aware of the available literature as well as understanding clinical recommendations for applications and interpretation. It is best applied in the medium/intermediate risk, asymptomatic adult regardless of ethnicity across broad age ranges for both men and women; additional prognostic information is also afforded from the calcium distribution in the coronary artery system. Additionally, information can also be derived from the same CT scan regarding heart and aorta size and assessment of the epicardial fat pad (an anatomic marker for the metabolic syndrome). Details of how this test can aid in cardiovascular risk assessment and management in adults are provided.

Keywords: coronary artery calcium, coronary artery disease, electron beam computed ­tomography, multidetector computed tomography, National Cholesterol Education Program Adult Treatment Plan III (NCEP ATP III), epicardial fat

Creative Commons License © 2010 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.