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Semin Ultrasound CT MR. 2008 Jun;29(3):223-9.

Coronary artery calcium scanning using computed tomography: clinical recommendations for cardiac risk assessment and treatment.

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The Princeton Longevity Center, Princeton, NJ 08540, USA.


Awareness of coronary artery calcium scanning by computed tomography as a reproducible, low-radiation dose means to estimate plaque burden in patients necessitates clinical recommendations for interpretation. Coronary artery calcium scanning is best applied in the intermediate risk, asymptomatic adult population. Calcium scores >100 or >75th percentile transform the intermediate risk patient to high risk with recommendations for more aggressive therapy. Scores exceeding the 90th percentile or >400 define the group at the highest risk of a cardiovascular event and may suggest further cardiac testing. Scores from 11 to 100 and <75th percentile confirm intermediate risk status, and scores from 0 to 10 and <75th percentile convert the patient to low or very low risk.

[Indexed for MEDLINE]

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