Don’t routinely order coronary CT angiography for screening asymptomatic individuals.
|Rationale and Comments:||Coronary CT angiography findings of coronary artery disease stenosis severity rarely offer incremental discrimination over coronary artery calcium scoring in asymptomatic individuals.|
|References:||• Choi EK, et al. Coronary computed tomography angiography as a screening tool for the detection of occult coronary artery disease in asymptomatic individuals. J Am Coll Cardiol. 2008;52:357-65.
• Taylor AJ, et al. ACCF/SCCT/ACR/AHA/ASE/ASNC/ NASCI/SCAI/SCMR 2010 appropriate use criteria for cardiac computed tomography. J Amer Coll Cardiol. 2010;56(22): 1864-94.
• USPSTF. Using nontraditional risk factors in coronary heart disease assessment. October 2009. http://www.uspreventive servicestaskforce.org/uspstf/uspscoronaryhd.htm.