EMERGING EVIDENCE THAT MAKES A BIG DIFFERENCE

High-Risk

Relationship between CAC score & atherosclerosis lesions in high risk patients1

Interpretation of calcium score for high-risk patients2

Agatston score Plaque burden Probability of significant CAD
101-400 At least moderate atherosclerotic plaque Nonobstructive CAD likely, although obstructive disease possible
>400 Extensive atherosclerotic plaque High likelihood of at least one significant coronary artery stenosis

Independent prediction of cardiovascular risk3

Results from the Multi-Ethnic Study of Atherosclerosis (MESA) at a follow-up of approximately 7 years.

CAC: coronary artery calcium; CAD: coronary artery disease; CPS: carotid plaque score.

References

  1. Cheong BYC, Wilson JM, Spann SJ, Pettigrew RI, Preventza OA, Muthupillai R. Coronary artery calcium scoring: an evidence-based guide for primary care physicians. J Intern Med. 2021;289(3):309-324.
  2. Johri AM, Nambi V, Naqvi TZ, et al. Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk: From the American Society of Echocardiography. J Am Soc Echocardiogr. 2020;33(8):917-933.