Choosing Wisely:

Don’t order coronary artery calcium scoring for preoperative evaluation for any surgery, irrespective of patient risk.

Rationale and Comments: No evidence exists to support the diagnostic or prognostic potential of coronary artery calcium scoring in individuals in the preoperative setting. This practice may add costs and confound professional guideline-based evaluations.
Sponsoring Organizations:
  • Society of Cardiovascular Computed Tomography
  • Sources:
  • ACC/AHA guidelines
  • Disciplines:
  • Surgical
  • Cardiovascular
  • References: • Fleisher LA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. Circulation. 2007;116(17):e418–99.

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