Coronary artery calcium scoring in patients with hypertension

Coronary artery calcium (CAC) is increased by high blood pressure (BP), predicts new-onset hypertension, and is a powerful predictor of atherosclerotic cardiovascular disease events in patients with and without hypertension. Unlike other diseases (e.g., hypercholesterolemia), the clinical use of CAC...

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Bibliographic Details
Published in:Journal of human hypertension 2020-09, Vol.34 (9), p.609-616
Main Authors: Weinberg, Richard L., Rubenfire, Melvyn, Brook, Robert D.
Format: Article
Language:English
Subjects:
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Arteriosclerosis
Blood pressure
Calcification (ectopic)
Calcium
Cardiovascular diseases
Care and treatment
Coronary artery
Coronary vessels
Epidemiology
Evidence-based medicine
Health Administration
Hypercholesterolemia
Hypertension
Medicine
Medicine & Public Health
Patients
Perspective
Public Health
Tomography
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Description
Summary:Coronary artery calcium (CAC) is increased by high blood pressure (BP), predicts new-onset hypertension, and is a powerful predictor of atherosclerotic cardiovascular disease events in patients with and without hypertension. Unlike other diseases (e.g., hypercholesterolemia), the clinical use of CAC scoring to personalize the treatment of high BP has not received much attention and therefore remains less well defined. Herein, we provide an updated review of studies investigating the relationship between CAC and BP. Finally, we propose a clinical algorithm to incorporate CAC into hypertension management, with a focus on its potential value in tailoring the timing of medication therapy and in helping to personalize BP goals.
ISSN:0950-9240
1476-5527
DOI:10.1038/s41371-020-0350-4