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The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Impact of Coronary Artery Calcium Scanning on Coronary Risk Factors and Downstream Testing

Open access
Rozanski, Alan, Gransar, Heidi, Shaw, Leslee J., Kim, Johanna, Miranda-Peats, Lisa, Wong, Nathan D., Rana, Jamal S., Orakzai, Raza, Hayes, Sean W., Friedman, John D., Thomson, Louise E.J., Polk, Donna, Min, James, Budoff, Matthew J., Berman, Daniel S.·2011·Journal of the American College of Cardiology

Abstract

OBJECTIVE We conducted a prospective randomized trial to compare the clinical impact of conventional risk factor modification to that associated with coronary artery calcium (CAC) scanning. BACKGROUND Although CAC scanning predicts cardiac events, its impact on subsequent medical management and CAD risk is not known. METHODS We assigned 2,137 volunteers to groups that did versus did not undergo CAC scanning before risk factor counseling. The primary end-point was 4-year change in CAD risk factors and Framingham Risk Score (FRS). We also compared the groups for differences in downstream medical resource utilization. RESULTS Compared to the no-scan group, the scan group showed a net favorable change in systolic blood pressure (p=0.02), LDL-cholesterol (p=0.04), waist circumference for those with increased abdominal girth (p=0.01), and tendency to weight loss among overweight subjects (p=0.07). While mean FRS rose in the no-scan group, it remained static in the scan group (0.7±5.1 versus 0.002±4.9, p=0.003). Within the scan group, increasing baseline CAC score was associated with a dose-response improvement in systolic and diastolic blood pressure (p<0.001), total cholesterol (p<0.001), LDL-cholesterol (p<0.001), triglycerides (p<0.001), weight (p<0.001) and FRS (p=0.003). Downstream medical testing and costs in the scan group were comparable versus the no-scan group, balanced by lower and higher resource utilization for those with normal CAC scans and CAC scores ≥400, respectively. CONCLUSIONS As compared to no scanning, randomization to CAC scanning was associated with superior CAD risk factor control without increasing downstream medical testing. Further study of CAC scanning for improvement of cardiovascular outcomes may be warranted. (ClinicalTrials.gov, number NCT00927693).

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Metadata

Authors
Rozanski, A., Gransar, H., Shaw, L. J., Kim, J., Miranda-Peats, L., Wong, N. D., Rana, J. S., Orakzai, R., Hayes, S. W., Friedman, J. D., Thomson, L. E. J., Polk, D., Min, J., Budoff, M. J., & Berman, D. S.
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2011-04
Volume
57
Issue
15
Pages
1622-1632
ISSN
0735-1097 (ISSN-L)
OpenAlex
W1743552125
Cited by
458
References
34
FWCI
27.35
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Impact of Coronary Artery Calcium Scanning on Coronary Risk Factors and Downstream Testing. https://app.cochat.ai/papers/10.1016/j.jacc.2011.01.019
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Rozanski, A., Gransar, H., Shaw, L. J., Kim, J., Miranda-Peats, L., Wong, N. D., Rana, J. S., Orakzai, R., Hayes, S. W., Friedman, J. D., Thomson, L. E. J., Polk, D., Min, J., Budoff, M. J., & Berman, D. S. (2011). Impact of Coronary Artery Calcium Scanning on Coronary Risk Factors and Downstream Testing. Journal of the American College of Cardiology. https://doi.org/10.1016/j.jacc.2011.01.019

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