Choosing Wisely:

Don’t routinely order coronary CT angiography for screening asymptomatic individuals.

Search Recommendations

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.
Sponsoring Organizations:
  • Society of Cardiovascular Computed Tomography
    • Sources:
  • ACC/AHA guidelines
  • U.S. Preventive Services Task Force
    		•
    Disciplines:
  • Preventive Medicine
  • Cardiovascular
    		•
    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.

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