{"id":1576,"date":"2014-04-13T15:28:15","date_gmt":"2014-04-13T14:28:15","guid":{"rendered":"https:\/\/blogs.bmj.com\/heart-journalscan\/?p=1576"},"modified":"2015-11-12T16:48:12","modified_gmt":"2015-11-12T15:48:12","slug":"coronary-artery-calcium-density-is-inversely-associated-with-coronary-risk","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/heart\/2014\/04\/13\/coronary-artery-calcium-density-is-inversely-associated-with-coronary-risk\/","title":{"rendered":"Coronary artery calcium density is inversely associated with coronary risk"},"content":{"rendered":"<p><span style=\"line-height: 1.5em\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify\">Coronary calcium is associated with cardiovascular disease risk.\u00a0 However, it may not only be the volume, but the density of coronary calcium that influences risk as more dense calcium may reflect stable plaque at lower risk of inciting coronary events.\u00a0 The traditional Agatson method of scoring coronary calcium burden does not consider coronary calcium volume and density independently. In this prospective cohort study of 3,398 adults without known cardiovascular disease, the authors examined the predictive value of adding coronary calcium density to Agatston volume scores for cardiovascular disease risk. Over a median follow-up of more than 7 years, there were 265 cardiovascular events in the study population and the Agatston volume score of coronary calcium was positively associated with cardiovascular disease risk. However, the density score was inversely associated with cardiovascular disease risk. Furthermore, the addition of the density score improved a risk prediction model for cardiovascular disease.<!--more--><\/p>\n<p style=\"text-align: justify\"><b>\u00a0<\/b><b>Conclusion<\/b><\/p>\n<p style=\"text-align: justify\">Coronary density appears to refine cardiovascular disease risk estimation using coronary calcium scoring, with more dense calcium reflecting stable plaques at lower risk.<\/p>\n<ul>\n<li>\u00a0Criqui MH, Denenberg JO, Ix JH, et al. Calcium density of coronary artery plaque and risk of incident cardiovascular events. JAMA. 2014 Jan 15;311(3):271-8.<\/li>\n<\/ul>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 Coronary calcium is associated with cardiovascular disease risk.\u00a0 However, it may not only be the volume, but the density of coronary calcium that influences risk as more dense calcium may reflect stable plaque at lower risk of inciting coronary events.\u00a0 The traditional Agatson method of scoring coronary calcium burden does not consider coronary calcium [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/heart\/2014\/04\/13\/coronary-artery-calcium-density-is-inversely-associated-with-coronary-risk\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":47,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[282],"tags":[651,2322],"class_list":["post-1576","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-imaging","tag-cardiovascular-risk","tag-coronary-ct"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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