
Episode #505
WHO REALLY NEEDS A HEART CALCIUM SCAN?
Vidcast: https://www.instagram.com/p/Dd7G6ApMcyL/ An increasingly popular cardiac test is the coronary artery calcium scan. It images calcium deposits associated with the atherosclerotc plaques and could be predictive of impending coronary artery disease and heart attacks. The questions is: Should you gave one? The answer comes from a multicenter study Northwestern University Medicine study newly published in JAMA . Cardiologists analyzed data from 6,098 adults ages 45 to 79 included in the Multi-Ethnic Study of Atherosclerosis and followed them for 10 years. The study group was divided into 3 groups using the so-called PREVENT criteria: minimal risk, borderline risk, and intermediate risk. All received cardiac calcium CT scans. For borderline-risk patients, the risk of cardiovascular-events varied according to the calcium score: 1.9% with a scan score of zero, compared with 14.3% with a can score of 300 or higher . For intermediate-risk patients, the cardiovascular-event risk rate was about 4.9% when the calcium score was zero, compared with about 9.9% for scores between 100 and 300, and 11.2% for scores of 300 or higher. Bottom line: A cardiac calcium CT scan is most useful for those with a borderline risk of coronary disease. Routine scanning of people at low risk exposes them to radiation and costs without clear benefit. On the other hand, those already identified as being at high risk may not gain much additional information because treatment decisions are already crystal clear. The references for this report are available on my website. #HeartHealth #CalciumScore #HeartDisease #Cardiology #MedicalResearch

