Section of Cardiology, Department of Medicine, University of Chicago Medical Center, 5841 South Maryland Avenue, MC 6080, Chicago, IL 60637, USA.
Cardiol Clin. 2012 Feb;30(1):49-55. doi: 10.1016/j.ccl.2011.11.004. Epub 2011 Dec 9.
Measurement of traditional risk factors remains the foundation of current clinical practice guidelines when screening for coronary heart disease (CHD) risk. However, many adults who experience CHD events are not identified as higher risk based on their traditional risk factors. Observational data show that the coronary artery calcium (CAC) score improves risk prediction, even after taking into account traditional risk factors. The authors have outlined several principles of CAC testing into a list of dos and don'ts to help maximize its potential benefit while minimizing potential harm.
测量传统危险因素仍然是目前筛查冠心病 (CHD) 风险的临床实践指南的基础。然而，许多发生 CHD 事件的成年人并不能根据其传统危险因素被确定为更高风险。观察性数据表明，即使考虑到传统危险因素，冠状动脉钙 (CAC) 评分也能改善风险预测。作者已经将 CAC 检测的几个原则概括为一系列的注意事项，以帮助最大限度地发挥其潜在益处，同时最小化潜在危害。
