Individualize cardiovascular risk, and optimize risk reduction using cardiac CT with coronary artery calcium (CAC) scoring. Our expert guests from The Society for Cardiovascular Computed Tomography (SCCT), Dr. Harvey Hecht, Professor of Medicine from Mount Sinai, and Dr. Matthew Budoff, Professor of Medicine from UCLA, school us on the use of this powerful tool.
Special thanks to Dr. Emilio Fentanes from the SCCT for setting up this interview.
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Goal: Listeners will effectively implement the use of CAC scores for personalized cardiovascular risk assessment and risk reduction.
By the end of this podcast listeners will:
Dr. Budoff reports grant support from from both National Institutes of Health and General Electric. Dr. Hecht is a consultant to Philips Medical Systems, and Arineta Scientific Advisory Board.
04:45 Rapid fire questions
10:42 What is a CAC score?
12:40 Calcium score of zero
14:05 When to check CAC score
16:35 Counsel patient on CAC scoring
19:50 Warranty on CAC score
22:00 CAC score interpretation and cutoffs
25:29 Incidental calcium noted on CT chest, or mammography
30:35 Exercise restriction?
32:31 De-escalation of therapy if calcium score zero
34:16 Evidence for CAC scoring (landmark trials)
37:09 Take home points
Links from the show:
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