Coronary Artery Calcium Score Improved Cardiovascular Disease Risk Prediction in Asymptomatic Patients

https://doi.org/10.19106/JMedScieSup005001201805

I Md Ady Wirawan(1*), Rodney Wu(2), Malcolm Abernethy(3), Sarah Aldington(4), Peter Larsen(5)

(1) School of Public Health, Faculty of Medicine, Universitas Udayana, Indonesia.
(2) Pacific Radiology Group, Wellington, New Zealand
(3) Wakefield Heart Centre, Wakefield Hospital, Wellington, New Zealand
(4) University of Otago, Wellington, New Zealand
(5) University of Otago, Wellington, New Zealand
(*) Corresponding Author

Abstract


This study examined whether coronary artery calcium score (CACS) has a better
accuracy than the cardiovascular risk prediction chart (CRPC), and evaluate the
reclassification improvement of CACS if it isused as a screening tool compared with
the CRPC. CACS has a better accuracy than the CRPC and reclassified a considerable
proportion (39%) of a symptomatic patient into correct cardiovascular risk categories.
CACS should be assessed in asymptomatic people with5-year CVD risk score of
5-10% and 10-15%.


Keywords


: assessment tool, CACS, Framingham risk score, asymptomatic people, risk stratification

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DOI: https://doi.org/10.19106/JMedScieSup005001201805

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Copyright (c) 2018 I Md Ady Wirawan, Rodney Wu, Malcolm Abernethy, Sarah Aldington, Peter Larsen

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Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by  Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.