Choosing Wisely:

Don’t use coronary artery calcium scoring for patients with known coronary artery disease (CAD) (including stents and bypass grafts).

Rationale and Comments: Coronary artery calcium scoring is used for evaluation of individuals without known CAD and offers limited incremental prognostic value for individuals with known CAD, such as those with stents and bypass grafts.
Sponsoring Organizations:
  • Society of Cardiovascular Computed Tomography
  • Sources:
  • ACC/AHA guidelines
  • Disciplines:
  • Cardiovascular
  • References: • Budoff MJ, et al. Assessment of coronary artery disease by cardiac computed tomography. Circulation. 2006;114(16): 1761-91.
    • Greenland P, et al. ACCF/AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain. J Amer Coll Cardiol. 2007;49(3):378-402.

    Email Alerts

    Don't miss a single issue. Sign up for the free AFP email table of contents.

    Sign Up Now