Open AccessCoronary Artery Disease Risk Assessment in Sedentary and Active Patients: Medical Risk, Behavioral Psychology, and the Standard of Care
Author(s) -
Timothy E. Paterick
Publication year - 2020
Publication title -
international journal of clinical case reports and reviews
Language(s) - English
Resource type - Journals
ISSN - 2690-4861
DOI - 10.31579/2690-4861/069
Subject(s) - family history , coronary artery disease , risk factor , risk assessment , medicine , medical history , physical examination , disease , cognition , framingham risk score , physical therapy , psychology , psychiatry , computer science , computer security
Objective: A practical approach to determining risk in sedentary and active patients for coronary artery disease. Identify how personal/family history, atherogenic risk factors, and coronary calcium are essential to determining and predicting risk potential. Materials/Methods: Review of the medical, behavioral psychology, and standard of care literature to identify how human psychology, statistical risk of coronary disease, and coronary calcium shape risk prediction. Results: A comprehensive personal/family history, risk factor assessment and comprehensive physical examination are the foundation of risk assessment. Understanding the cognitive process of risk potential is critical to management strategies. Stress testing and coronary calcium scoring are useful adjuncts when initial screening is suggestive of intermediate atherogenic risk. Conclusion: Comprehensive personal/family history, risk factor assessment, comprehensive physical examination, cognitive processing of risk potential, stress testing and calcium scoring all have a role in risk assessment of sedentary and active patients.