· July 15, 2020-EUROPEAN HEART JOURNAL
Screening for Cardiovascular Disease Risk Using Traditional Risk Factor Assessment or Coronary Artery Calcium Scoring
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In this study, individuals at elevated risk for cardiovascular disease were randomized to screening arm A (n = 14,478; the Systematic COronary Risk Evaluation [SCORE] model) or B (n = 14,450; coronary artery calcium [CAC] scoring).
SCORE screening identified 45.1% at low risk, 26.5% at intermediate risk, and 28.4% at high risk, whereas CAC screening identified 76.0% at low risk, 15.1% at high risk, and 8.9% at very high risk.
These results demonstrate that CAC scoring significantly reduces the number of individuals classified as requiring preventive treatment compared with SCORE screening.