title: Role of computed tomography in risk assessment for coronary heart disease.
abstract: Coronary heart disease is the most common cause of death in Western countries, with a rising incidence in developing countries. It is part of the spectrum of cardiovascular diseases that have common end points of myocardial infarction, stroke and death. As these end points often occur suddenly and often in those with no known disease, identification of those people at high risk is important. Besides the known traditional risk factors, direct imaging of the calcified plaque as a marker for atherosclerotic disease has been extensively studied with electron beam computed tomography and now with multislice computed tomography. This review discusses the role of computed tomography in assessment of cardiovascular risk in both people with or without symptoms.
authors.affiliation: Department of Medical Imaging, Harefield Hospital, Royal Brompton & Harefield NHS Trust, Hill End Road, Middlesex UB9 6JH, UK. t.mittal@rbht.nhs.uk
authors.forename: Tarun K
authors.initials: TK
authors.lastname: Mittal
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Barbir
authors.forename: Michael
authors.initials: M
authors.lastname: Rubens
mesh_terms: D002114:Calcinosis / Q000000981:diagnostic imaging; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D005544:Forecasting; D006801:Humans; D018570:Risk Assessment; D012307:Risk Factors; D015898:Tomography Scanners, X-Ray Computed / Q000592:standards; D014057:Tomography, X-Ray Computed / Q000379:methods*