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Coronary Calcium Does Not Accurately Predict Near-Term Future Coronary Events in High-Risk Adults
Author(s) -
Robert Detrano,
Nathan D. Wong,
Terence M. Doherty,
Robert M. Shavelle,
Weiyi Tang,
Leonard E. Ginzton,
Matthew J. Budoff,
Kenneth A. Narahara
Publication year - 1999
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.99.20.2633
Subject(s) - medicine , coronary artery calcium , cardiology , term (time) , calcium , coronary artery disease , physics , quantum mechanics
Prognostic risk models have had limited success in predicting coronary events in subjects with multiple risk factors. We and others have proposed an alternative approach using radiographically detectable coronary calcium. We evaluated and compared the predictive value of these 2 approaches for determining coronary event risk in asymptomatic adults with multiple coronary risk factors. In addition, we assessed the predictive value of a risk model that included calcium score and cardiac risk-factor data.

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