Radiological imaging to assess individual cardiovascular risk

Radiologic imaging for the assessment of individual cardiovascular risk. The correct estimation of the individual cardiovascular risk is prerequisite for the prevention of cardiovascular diseases. Here, extensive evidence is available for coronary calcium scans as well as coronary CT angiography (CT...

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Bibliographic Details
Published in:Radiologe 2019-01, Vol.59 (1), p.35-42
Main Authors: Ordu, A D, Rippel, K, Garthe, L T, Scheurig-Münkler, C, Kröncke, T, Schwarz, F
Format: Article
Language:ger
Subjects:
Cardiovascular Diseases - diagnostic imaging
Coronary Angiography - methods
Coronary Artery Disease
Humans
Risk Assessment
Risk Factors
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Summary:Radiologic imaging for the assessment of individual cardiovascular risk. The correct estimation of the individual cardiovascular risk is prerequisite for the prevention of cardiovascular diseases. Here, extensive evidence is available for coronary calcium scans as well as coronary CT angiography (CTA). Summary of the available evidence for the use of calcium score and coronary CTA. Illustration of the significance of both tests in current guidelines. Both tests have high prognostic value, surpassing a risk-factor based assessment. In comparison with the calcium score, the CTA has higher incremental value. Results from recent trials confirm an improvement of outcomes in symptomatic patients by performing a CTA compared with standard care. European and US guidelines recommend a calcium score for risk stratification of asymptomatic patients with a low to intermediate risk profile. For symptomatic patients with low to intermediate coronary artery disease pretest probability, a CTA is recommended.
ISSN:1432-2102
DOI:10.1007/s00117-018-0480-7