American Heart Journal
Volume 157, Issue 6 , Pages 1001-1009 , June 2009

Evaluation of coronary artery calcium screening strategies focused on risk categories: The Dallas Heart Study

  • Mahesh J. Patel, MD

      Affiliations

    • Division of Cardiology, The University of Texas-Southwestern Medical Center, Dallas, TX
    • Division of Cardiovascular Medicine, Duke University Medical Center, Durham, NC
    • Corresponding Author InformationReprint requests: Mahesh J. Patel, MD, Division of Cardiology, DUMC 31024, Durham, NC 27703.
    • ,
  • James A. de Lemos, MD

      Affiliations

    • Division of Cardiology, The University of Texas-Southwestern Medical Center, Dallas, TX
    • Donald W. Reynolds Cardiovascular Clinical Research Center, The University of Texas-Southwestern Medical Center, Dallas, TX
    • ,
  • Darren K. McGuire, MD, MHSc

      Affiliations

    • Division of Cardiology, The University of Texas-Southwestern Medical Center, Dallas, TX
    • Donald W. Reynolds Cardiovascular Clinical Research Center, The University of Texas-Southwestern Medical Center, Dallas, TX
    • ,
  • Raphael See, MD

      Affiliations

    • Division of Cardiology, The University of Texas-Southwestern Medical Center, Dallas, TX
    • ,
  • Jason B. Lindsey, MD

      Affiliations

    • Division of Cardiology, The University of Texas-Southwestern Medical Center, Dallas, TX
    • ,
  • Sabina A. Murphy, MPH

      Affiliations

    • Brigham and Women's Hospital, Boston, MA
    • ,
  • Scott M. Grundy, MD, PhD

      Affiliations

    • Center for Human Nutrition, The University of Texas-Southwestern Medical Center, Dallas, TX
    • ,
  • Amit Khera, MD, MSc

      Affiliations

    • Division of Cardiology, The University of Texas-Southwestern Medical Center, Dallas, TX
    • Donald W. Reynolds Cardiovascular Clinical Research Center, The University of Texas-Southwestern Medical Center, Dallas, TX

Received 7 July 2008 ,Accepted 19 March 2009.

References 

  1. Budoff MJ, Achenbach S, Blumenthal RS, et al. Assessment of coronary artery disease by cardiac computed tomography: a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation. 2006;114:1761–1791
  2. Arad Y, Goodman KJ, Roth M, et al. Coronary calcification, coronary disease risk factors, C-reactive protein, and atherosclerotic cardiovascular disease events: the St. Francis Heart Study. J Am Coll Cardiol. 2005;46:158–165
  3. Church TS, Levine BD, McGuire DK, et al. Coronary artery calcium score, risk factors, and incident coronary heart disease events. Atherosclerosis. 2007;190:224–231
  4. Greenland P, LaBree L, Azen SP, et al. Coronary artery calcium score combined with Framingham score for risk prediction in asymptomatic individuals. JAMA. 2004;291:210–215
  5. Detrano R, Guerci AD, Carr JJ, et al. Coronary calcium as a predictor of coronary events in four racial or ethnic groups. N Engl J Med. 2008;358:1336–1345
  6. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106:3143–3421
  7. Greenland P, Bonow RO, Brundage BH, et al. ACCF/AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain: a report of the American College of Cardiology Foundation Clinical Expert Consensus Task Force. Circulation. 2007;115:402–426
  8. Hendel RC, Patel MR, Kramer CM, et al. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, and Society of Interventional Radiology. J Am Coll Cardiol. 2006;48:1475–1497
  9. Wilson PW, D'Agostino RB, Levy D, et al. Prediction of coronary heart disease using risk factor categories. Circulation. 1998;97:1837–1847
  10. Victor RG, Haley RW, Willett DL, et al. The Dallas Heart Study: a population-based probability sample for the multidisciplinary study of ethnic differences in cardiovascular health. Am J Cardiol. 2004;93:1473–1480
  11. Jain T, Peshock R, McGuire DK, et al. African Americans and Caucasians have a similar prevalence of coronary calcium in the Dallas Heart Study. J Am Coll Cardiol. 2004;44:1011–1017
  12. Khera A, McGuire DK, Murphy SA, et al. Race and gender level differences in C-reactive protein levels. J Am Coll Cardiol. 2004;46:464–469
  13. MRC/BHF Heart Protection Study Collaborative Group . MRC/BHF Heart Protection Study of cholesterol-lowering therapy and of antioxidant vitamin supplementation in a wide range of patients at increased risk of coronary heart disease death: early safety and efficacy experience. Eur Heart J. 1999;20:725–741
  14. See R, Lindsey JB, Patel MJ, et al. Application of the screening for Heart Attack Prevention and Education Task Force recommendations to an urban population: observations from the Dallas Heart Study. Arch Intern Med. 2008;168:1055–1062
  15. Lakoski SG, Cushman M, Blumenthal RS, et al. Implications of C-reactive protein or coronary artery calcium score as an adjunct to global risk assessment for primary prevention of CHD. Atherosclerosis. 2007;193:401–407
  16. Michos ED, Vasamreddy CR, Becker DM, et al. Women with low Framingham risk score and family history of premature coronary heart disease have a high prevalence of subclinical atherosclerosis. Am Heart J. 2005;150:1276–1281
  17. Thom T, Haase N, Rosamond W, et al. Heart disease and stroke statistics—2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2006;113:e85–e151
  18. Raggi P, Gongora MC, Gopal A, et al. Coronary artery calcium to predict all-cause mortality in elderly men and women. J Am Coll Cardiol. 2008;52:17–23
  19. Goff DC, Bertoni AG, Kramer H, et al. Dyslipidemia prevalence, treatment, and control in the Multi-Ethnic Study of Atherosclerosis (MESA): gender, ethnicity, and coronary artery calcium. Circulation. 2006;113:647–656
  20. Lakoski SG, Greenland P, Wong ND, et al. Coronary artery calcium scores and risk for cardiovascular events in women classified as ‘low risk’ based on the Framingham risk score: The Multi-Ethnic Study of Atherosclerosis. Arch Intern Med. 2007;167:2437–2442
  21. Pearson TA, Blair SN, Daniels SR, et al. AHA Guidelines for primary prevention of cardiovascular disease and stroke: 2002 update: consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atherosclerotic vascular diseases. American Heart Association Science Advisory and Coordinating Committee. Circulation. 2002;106:388–391

 Robert C. Hendel, MD served as guest editor on this manuscript.

PII: S0002-8703(09)00214-2

doi: 10.1016/j.ahj.2009.03.018

American Heart Journal
Volume 157, Issue 6 , Pages 1001-1009 , June 2009

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