Coronary Calcium Scanning
It is increasingly recognized that only by preventing ischemic heart disease can morbidity and mortality associated with cardiovascular diseases be substantially reduced. There are two main preventive strategies: one that focuses on community-wide measures (“population approach”) and one that focuses on high-risk individuals (“high-risk approach”) (1). Certainly, both approaches have strengths and limitations, and should work best if applied in a complementary fashion. Although clear goals can be set for community-wide measures (such as promoting healthy diet, increasing physical activity, and marginalizing smoking), strategies for successful implementation depend on political, cultural, and economic surroundings. Trials in Central and Western Europe have failed to fulfil the expectations (2,3). By contrast, the high-risk approach has been demonstrated to be effective regarding both lifestyle and pharmacological interventions (1). The problem with this approach is the need to reliably identify high-risk subjects.
KeywordsCoronary Artery Calcium Coronary Plaque Coronary Calcium Score Sudden Coronary Death Coronary Heart Disease Risk Assessment
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