Journal of Cardiovascular Computed Tomography
Volume 3, Issue 1 , Pages 52-56, January 2009

Practical tips and tricks in cardiovascular computed tomography: Non-contrast “heartscans”—beyond the calcium score

The Princeton Longevity Center, Princeton Forrestal Village, 136 Main Street, Princeton, NJ 08540, USA

Received 19 June 2008; accepted 3 November 2008. published online 19 November 2008.

Abstract 

The Agatston total coronary artery calcium (CAC) score, derived from a non-contrast CT scan of the heart (also known as the “heartscan”) in asymptomatic and symptomatic patients, has been shown to provide incremental and independent assessment to conventional risk factors based upon literally hundreds of studies published from around the world. However, recent data have emerged to indicate that there is additional information which can be derived from a “heartscan” beyond the calcium score. These include recent data on the applicability across ethnic sub-groups, prognostication in the elderly, defining “heart age” versus chronological age for individual risk stratification, evaluating CAC distribution in addition to total CAC score, and looking beyond the coronary arteries regarding left ventricular size, arotic root/thoracic aorta diameter, and epicardial fat.

Keywords: Calcium scoring, Coronary artery calcification, Coronary atherosclerosis

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 Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(08)00699-0

doi:10.1016/j.jcct.2008.11.002

Journal of Cardiovascular Computed Tomography
Volume 3, Issue 1 , Pages 52-56, January 2009