Lung cancer screening with low-dose CT can detect extensive coronary artery calcium, an independent predictor of all-cause death and cardiovascular events.
Lung cancer screening with low-dose CT can detect extensive coronary artery calcium , an independent predictor of all-cause death and cardiovascular events, new research suggested.
At follow-up, 78 participants experienced the primary composite outcome, including 39 with extensive CAC, 32 with mild to moderate CAC, and seven with no CAC. Extensive CAC remained predictive of cardiovascular events even after adjustment for noncardiovascular death as a competing risk . Challenges that need to be overcome before such mechanisms can be put in place, she said, “include ensuring standardized CAC reporting, avoiding overburdening healthcare providers, mitigating the risk of excessive downstream testing, and ensuring equitable access to follow-up care for underserved and rural communities.”
“Systems of care to facilitate recognition of patients with incidentally discovered vascular calcification would be welcome and, on a large scale, could help prevent cardiovascular events,” he noted. “Such a system might involve facilitating referral to a prevention specialist. It could involve evidence-based guidance for referring physicians who ordered scans.”
Lung Carcinoma Cancer Of The Lung Computed Tomography CT Ct Scan Lung CV Risk Cardiovascular Risk CV Risk Factors Cardiovascular Risk Factors Cardiovascular Risk Management Cancer Malignant Neoplasia Carcinoma Malignant Neoplasm Atherosclerotic Heart Disease Atherosclerotic Cardiovascular Disease Coronary Heart Disease Ischemic Heart Disease Coronary Artery Disease
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