title: Prognostic value of cardiovascular CT: is coronary artery calcium screening enough? The added value of CCTA.
abstract: Coronary artery disease (CAD) is the primary cause of death in adults in the United States. Only 50% of patients who present with a myocardial infarction have a prior history of CAD. Non-invasive cardiac imaging tests have been developed to diagnose CAD. Current guidelines and systematic reviews have tried to determine the prognostic value of the coronary artery calcium (CAC) scoring and the coronary computed tomography angiography (CCTA) for major adverse cardiovascular events. Several studies support the roles of CCTA and CAC scoring for the diagnosis of CAD in asymptomatic patients. Further studies are needed to confirm the superior role of CCTA over CAC scoring in symptomatic patients.
authors.affiliation: Instituto Nacional de Cardiologia, Ignacio Chavez, Juan Badiano No 1, Col. Sección XVI, Tlalpan, 14080 Mexico City, Mexico. alexanderick@yahoo.com
authors.forename: Erick
authors.initials: E
authors.lastname: Alexanderson
authors.forename: Nadia
authors.initials: N
authors.lastname: Canseco-León
authors.forename: Fernando
authors.initials: F
authors.lastname: Iñarra
authors.forename: Aloha
authors.initials: A
authors.lastname: Meave
authors.forename: Damini
authors.initials: D
authors.lastname: Dey
mesh_terms: D000328:Adult; D002114:Calcinosis / Q000150:complications / Q000000981:diagnostic imaging*; D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000209:etiology; D019317:Evidence-Based Medicine; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000379:methods*