Coronary artery calcium score: we know where we are but not where we may be
Cardiac computed tomography angiography (CCTA) has emerged as a cost-effective and time-saving technique for excluding coronary artery disease. One valuable tool obtained by CCTA is the coronary artery calcium (CAC) score. The use of CAC scoring has shown promise in risk assessment and stratificati...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-09-01
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| Series: | Monaldi Archives for Chest Disease |
| Subjects: | |
| Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/2720 |
| _version_ | 1797691093356118016 |
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| author | Giulia Mattesi Maria Teresa Savo Morena De Amicis Filippo Amato Elena Cozza Simone Corradin Stefano Da Pozzo Marco Previtero Riccardo Bariani Giorgio De Conti Ilaria Rigato Valeria Pergola Raffaella Motta |
| author_facet | Giulia Mattesi Maria Teresa Savo Morena De Amicis Filippo Amato Elena Cozza Simone Corradin Stefano Da Pozzo Marco Previtero Riccardo Bariani Giorgio De Conti Ilaria Rigato Valeria Pergola Raffaella Motta |
| author_sort | Giulia Mattesi |
| collection | DOAJ |
| description |
Cardiac computed tomography angiography (CCTA) has emerged as a cost-effective and time-saving technique for excluding coronary artery disease. One valuable tool obtained by CCTA is the coronary artery calcium (CAC) score. The use of CAC scoring has shown promise in risk assessment and stratification of cardiovascular disease. CAC scores can be complemented by plaque analysis to assess vulnerable plaque characteristics and further refine risk assessment. This paper aims to provide a comprehensive understanding of the value of the CAC as a prognostic tool and its implications for patient risk assessment, treatment strategies and outcomes. CAC scoring has demonstrated superior ability in stratifying patients, especially asymptomatic individuals, compared to traditional risk factors and scoring systems. The main evidence suggests that individuals with a CAC score of 0 had a good long-term prognosis, while elevated CAC score is associated with increased cardiovascular risk. Finally, the clinical power of CAC scoring and the develop of new models for risk stratification could be enhanced by machine learning algorithms.
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| first_indexed | 2024-03-12T02:08:26Z |
| format | Article |
| id | doaj.art-a3209903c2524386918f72ffd47bc5d6 |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-03-12T02:08:26Z |
| publishDate | 2023-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-a3209903c2524386918f72ffd47bc5d62023-09-06T18:43:24ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642023-09-0110.4081/monaldi.2023.2720Coronary artery calcium score: we know where we are but not where we may be Giulia Mattesi0Maria Teresa Savo1Morena De Amicis2Filippo Amato3Elena Cozza4Simone Corradin5Stefano Da Pozzo6Marco Previtero7Riccardo Bariani8Giorgio De Conti9Ilaria Rigato10Valeria Pergola11Raffaella Motta12Department of Cardiac Vascular Thoracic Sciences and Public Health, University of PaduaDepartment of Cardiac Vascular Thoracic Sciences and Public Health, University of PaduaRadiology Unit, Padua University Hospital, PaduaDepartment of Cardiac Vascular Thoracic Sciences and Public Health, University of PaduaDepartment of Cardiac Vascular Thoracic Sciences and Public Health, University of PaduaRadiology Unit, Padua University Hospital, PaduaRadiology Unit, Padua University Hospital, PaduaDepartment of Cardiac Vascular Thoracic Sciences and Public Health, University of PaduaDepartment of Cardiac Vascular Thoracic Sciences and Public Health, University of PaduaRadiology Unit, Padua University Hospital, PaduaDepartment of Cardiac Vascular Thoracic Sciences and Public Health, University of PaduaDepartment of Cardiac Vascular Thoracic Sciences and Public Health, University of PaduaRadiology Unit, Padua University Hospital, Padua Cardiac computed tomography angiography (CCTA) has emerged as a cost-effective and time-saving technique for excluding coronary artery disease. One valuable tool obtained by CCTA is the coronary artery calcium (CAC) score. The use of CAC scoring has shown promise in risk assessment and stratification of cardiovascular disease. CAC scores can be complemented by plaque analysis to assess vulnerable plaque characteristics and further refine risk assessment. This paper aims to provide a comprehensive understanding of the value of the CAC as a prognostic tool and its implications for patient risk assessment, treatment strategies and outcomes. CAC scoring has demonstrated superior ability in stratifying patients, especially asymptomatic individuals, compared to traditional risk factors and scoring systems. The main evidence suggests that individuals with a CAC score of 0 had a good long-term prognosis, while elevated CAC score is associated with increased cardiovascular risk. Finally, the clinical power of CAC scoring and the develop of new models for risk stratification could be enhanced by machine learning algorithms. https://www.monaldi-archives.org/index.php/macd/article/view/2720coronary computed tomographycalcium scorerisk stratificationcoronary plaque |
| spellingShingle | Giulia Mattesi Maria Teresa Savo Morena De Amicis Filippo Amato Elena Cozza Simone Corradin Stefano Da Pozzo Marco Previtero Riccardo Bariani Giorgio De Conti Ilaria Rigato Valeria Pergola Raffaella Motta Coronary artery calcium score: we know where we are but not where we may be Monaldi Archives for Chest Disease coronary computed tomography calcium score risk stratification coronary plaque |
| title | Coronary artery calcium score: we know where we are but not where we may be |
| title_full | Coronary artery calcium score: we know where we are but not where we may be |
| title_fullStr | Coronary artery calcium score: we know where we are but not where we may be |
| title_full_unstemmed | Coronary artery calcium score: we know where we are but not where we may be |
| title_short | Coronary artery calcium score: we know where we are but not where we may be |
| title_sort | coronary artery calcium score we know where we are but not where we may be |
| topic | coronary computed tomography calcium score risk stratification coronary plaque |
| url | https://www.monaldi-archives.org/index.php/macd/article/view/2720 |
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