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Between risk charts and imaging: how should we stratify cardiovascular risk in clinical practice?
- Source :
-
European heart journal. Cardiovascular Imaging [Eur Heart J Cardiovasc Imaging] 2013 May; Vol. 14 (5), pp. 401-16. Date of Electronic Publication: 2013 Jan 08. - Publication Year :
- 2013
-
Abstract
- Cardiovascular (CV) risk prediction has a central role in primary CV prevention. Several risk charts have been developed in the attempt to identify subjects at risk who might benefit from more aggressive interventions. However, risk charts show main limitations and they remain underutilized in general practice. The addition of novel risk markers has substantially failed to improve risk charts discrimination power. Imaging has recently gained relevance in CV risk stratification for its ability to detect subclinical atherosclerosis. Although extending non-invasive imaging to all asymptomatic middle-aged people is currently not recommended, its progressive spread may provide information on preclinical atherosclerosis and detection of de facto initial disease might overcome some limitations of conventional risk stratification charts.
- Subjects :
- Cardiology organization & administration
Cardiovascular Diseases diagnosis
Cardiovascular Diseases prevention & control
Coronary Angiography methods
Early Diagnosis
Echocardiography, Doppler
Female
Humans
Male
Middle Aged
Predictive Value of Tests
Risk Assessment
Tomography, X-Ray Computed methods
Coronary Artery Disease diagnosis
Coronary Artery Disease prevention & control
Diagnostic Imaging methods
Medical Records statistics & numerical data
Primary Prevention methods
Subjects
Details
- Language :
- English
- ISSN :
- 2047-2412
- Volume :
- 14
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- European heart journal. Cardiovascular Imaging
- Publication Type :
- Academic Journal
- Accession number :
- 23299398
- Full Text :
- https://doi.org/10.1093/ehjci/jes297