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Role of Coronary Artery Calcium in Cardiovascular Risk Stratification and Management in the Aging Population

  • Craig R. Butler
  • Paolo Raggi
Chapter

Abstract

Ischemic cardiomyopathy remains the most common form of heart failure among the elderly despite important advances in the prevention and management of coronary heart disease. Controlling cardiovascular risk factors for coronary heart disease is the most effective way to reduce the burden of ischemic cardiomyopathy in elderly populations. Appropriate application of proven preventive therapies relies heavily on the accurate estimation of cardiovascular risk. Currently favored risk prediction models place a disproportionate emphasis on chronologic age resulting in the misclassification of risk in many elderly individuals. Coronary artery calcium scoring is a simple test that can be used to estimate the burden of coronary atherosclerosis and help “personalize” the approach to treatment of cardiovascular risk independent of chronologic age. Coronary artery calcium scores accurately predict cardiovascular events in older patients and effectively reclassify risk in elderly individuals with subsequent alteration of treatment goals. The improvement in risk prediction that coronary calcium offers promotes the use of preventive therapies in individuals who will receive the most benefit, while at the same time avoiding polypharmacy in those who would receive the least benefit.

Keywords

Coronary Artery Calcium Coronary Artery Calcium Score Calcium Score Coronary Calcium Ischemic Cardiomyopathy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of Cardiology, Mazankowski Alberta Heart Institute, Department of MedicineUniversity of Alberta HospitalEdmontonCanada

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