American Journal of Cardiology
Volume 101, Issue 12 , Pages 1805-1807 , 15 June 2008

The Deadly Double Standard (The Saga of Screening for Subclinical Atherosclerosis)

  • Harvey S. Hecht, MD

      Affiliations

    • Corresponding Author InformationCorresponding author: Tel: 212-434-2606; fax: 212-434-2205.

Received 19 January 2008 ,Revised 10 February 2008 ,Accepted 10 February 2008.

References 

  1. Rosamond W, Flegal K, Friday G, Furie K, Go A, Greenlund K, et al Heart disease and stroke statistics: 2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2007;115:e69–e1712
  2. Superko HR, King S. Lipid management to reduce cardiovascular risk: a new strategy is required. Circulation. 2008;117:560–568
  3. Budoff MJ, Achenbach S, Blumenthal RS, Carr JJ, Goldin JG, Greenland P, et al Assessment of coronary artery disease by cardiac computed tomography: a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation. 2006;114:1761–1791
  4. Greenland P, Bonow RO, Brundage BH, Budoff MJ, Eisenberg MJ, Grundy SM, 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: a report of the American College of Cardiology Clinical Expert Consensus Task Force (ACCF/AHA Writing Committee to Update the 2000 Expert Consensus Document on Electron Beam Computed Tomography). Circulation. 2007;115:402–426
  5. Lakoski SG, Greenland P, Wong ND, Schreiner PJ, Herrington DM, Kronmal RA, et al. Coronary artery calcium scores and risk for cardiovascular events in women classified as “low risk” based on Framingham risk score (The Multi-Ethnic Study of Atherosclerosis (MESA)). Arch Intern Med. 2007;167:2437–2445
  6. Detrano RC, Guerci AD, Carr JJ, Bild DE, Burke G, Folsom AR, et al Coronary calcium as a predictor of near-term coronary heart disease events in major American ethnic groups: the Multi-Ethnic Study of Atherosclerosis (MESA). New Engl J Med. 2008;358:1136–1145
  7. Winslow R. Scan for heart-attack risk to get a boost; major medical group expected to support use of EBT test; measuring calcium build-up. The Wall Street Journal. 2004;D1;September 21
  8. Lascalzo J, Bonow RO, Jacobs A. Coronary calcium screening and the American Heart Association news embargo. Circulation. 2004;110:3504–3505
  9. Naghavi M, Falk E, Hecht HS, Jamieson MJ, Sanjay K, Berman D, et al From vulnerable plaque to vulnerable patient, part III: executive summary of the Screening for Heart Attack Prevention and Education (SHAPE) Task Force report. Am J Cardiol. 2006;98(suppl):2H–15H
  10. Bill would require heart-screening reimbursement. Houston Business Journal. February 14, 2007. Available at: http://houston.bizjournals.com/houston/stories/2007/02/12/daily53.html. Accessed on February 15, 2007.
  11. Texas bill, based on SHAPE paradigm, would require insurance coverage for calcium screening and carotid ultrasound. HeartWire. Accessed on February 16, 2007.
  12. Jacobson PD. Transforming clinical practice guidelines into legislative mandates (Proceed with abundant caution). JAMA. 2008;200:208–210
  13. Wood S. Should the ACC/AHA have taken a tougher stance on SHAPE? HeartWire. Accessed on January 15, 2008.
  14. Grundy SM. Promise of low-density lipoprotein–lowering therapy for primary and secondary prevention. Circulation. 2008;117:569–573
  15. Lauer MS. Screening for coronary heart disease: has the time for universal imaging arrived?. Cleve Clin J Med. 2007;74:645–656
  16. Naghavi M, Hecht H. Vulnerable patients are between a “ROC and a hard place”: yes, it's time to screen for coronary artery disease. Cleve Clin J Med. 2007;74:757–758
  17. Diamond GA, Kaul S. The things to come of SHAPE: cost and effectiveness of cardiovascular prevention. Am J Cardiol. 2007;99:1013–1015
  18. Schmermund A, Baumgart D, Gorge G, Seibel R, Gronemeyer D, Ge J, et al. Coronary artery calcium in acute coronary syndromes (A comparative study of electron-beam computed tomography, coronary angiography, and intracoronary ultrasound in survivors of acute myocardial infarction and unstable angina). Circulation. 1997;96:1461–1469
  19. Pohle K, Ropers D, Maffert R, Geitner P, Moshage W, Regenfus M, et al. Coronary calcifications in young patients with first, unheralded myocardial infarction: a risk factor matched analysis by electron beam tomography. Heart. 2003;89:625–628

PII: S0002-9149(08)00387-1

doi: 10.1016/j.amjcard.2008.02.086

American Journal of Cardiology
Volume 101, Issue 12 , Pages 1805-1807 , 15 June 2008