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Current Cardiology Reports

Current and Emerging Approaches for Primary Prevention of Coronary Artery Disease Using Cardiac Computed Tomography

Published in:
Authors
Polydoros N. Kampaktsis
Carolyn Hennecken
Mrinali Shetty
Laura McLaughlin
Georgios Rampidis
Athanasios Samaras
Dimitrios Avgerinos
Nikolaos Spilias
Toshiki Kuno
Alexandros Briasoulis
Andrew J. Einstein
Published in
Current Cardiology Reports | Issue 10/2024

Abstract

Purpose of Review

To summarize the current use of cardiac computed tomography (CT) technologies as well as their pertinent evidence in regards to prevention of coronary artery disease (CAD).

Recent Findings

Cardiac CTA has now become a main non-invasive method for the evaluation of symptomatic CAD. In addition to coronary calcium score, other CT technologies such as atherosclerotic plaque analysis, fractional flow reserve estimation by CT, pericoronary fat attenuation, and endothelial wall shear stress have emerged. Whether the use of CT modalities can enhance risk prediction and prevention in CAD has not been fully answered.

Summary

We discuss the evidence for coronary artery calcium scoring and coronary CT angiography in primary prevention and the current barriers to their use. We attempt to delineate what can be done to expand use and what studies are needed to broaden adoption in the future. We also examine the potential roles of emerging CT technologies. Finally, we describe potential clinical approaches to prevention that would incorporate cardiac CT technologies.
Title
Current and Emerging Approaches for Primary Prevention of Coronary Artery Disease Using Cardiac Computed Tomography
Authors
Polydoros N. Kampaktsis
Carolyn Hennecken
Mrinali Shetty
Laura McLaughlin
Georgios Rampidis
Athanasios Samaras
Dimitrios Avgerinos
Nikolaos Spilias
Toshiki Kuno
Alexandros Briasoulis
Andrew J. Einstein
Publication date
27-07-2024
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 10/2024
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-024-02104-8
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This content is intended for healthcare professionals outside of the UK.

Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
Learn more Link opens in a new window
Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME