Screening for coronary heart disease: has the time for universal imaging arrived?
The Screening for Heart Attack Prevention and Education (SHAPE) Task Force has recommended a strategy of screeninig for coronary heart disease in which nearly all middle-aged and older adults would undergo an imaging test. However, this approach is not supported by evidence and is not endorsed by professional societies or the US Preventive Services Task Force. Physicians should follow established guidelines such as those of the third AdultTreatment Panel of the National Cholesterol Education Program.
Lauer
Michael S
MS
Division of Prevention and Population Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA. lauerm@nhlbi.nih.gov
D026683:Advisory Committees; D000367:Age Factors; D000368:Aged; D003327:Coronary Disease / Q000175:diagnosis* / Q000453:epidemiology; D003952:Diagnostic Imaging / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data*; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012307:Risk Factors; D019564:Unnecessary Procedures