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Coronary Artery Calcium Score and Risk Classification 

Coronary Artery Calcium Score and Risk Classification
Coronary Artery Calcium Score and Risk Classification

Christoph I. Lee

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date: 30 September 2020

This chapter, found in the chest pain section of the book, provides a succinct synopsis of a key study examining the use of computed tomography (CT) coronary artery calcium score for cardiovascular risk stratification. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. Researchers report that adding coronary artery calcium score to traditional risk factors produces significant improvements in classification of patients for future risk of coronary heart disease events, especially for intermediate-risk individuals who stand to benefit the most from a risk stratification strategy. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

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