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Coronary Calcium Scoring in African American and Hispanic Patients

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Cardiovascular Disease in Racial and Ethnic Minority Populations

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Coronary artery disease remains the most common cause of death in the United States. These events are often unexpected and fatal. African Americans and Hispanics have a greater incidence of risk factors such as type 2 diabetes, hypertension, and obesity which have all been known to increase cardiovascular risk. The Framingham Risk Score and similar ways to assess cardiac risk, often either underestimate or overestimate the risk for subsequent myocardial infarction or sudden death. Stress testing is very helpful in assessing risk in symptomatic patients but has a limited role in assessing the asymptomatic patient. Other modalities such as carotid intimal thickening, C-reactive protein, and ankle-brachial index are helpful in assessing asymptomatic patients, but they are not as powerful as coronary calcium scoring.

The purpose of this chapter is to familiarize the reader with coronary calcium scoring and its ability to identify those at higher risk. This may allow for earlier intervention prior to the occurrence of a potentially debilitating or deadly event. Furthermore, identifying those at lower risk can be accomplished with coronary calcium scoring.

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Author information

Authors and Affiliations

  1. Sharp Rees-Stealy Medical Group, San Diego, CA, USA

    Robert Gillespie

  2. David Geffen School of Medicine at UCLA, Division of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA

    Matthew Budoff

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  1. Robert Gillespie
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Editors and Affiliations

  1. Tulane University School of Medicine, New Orleans, LA, USA

    Keith C. Ferdinand

  2. Cardiovascular Research Institute, Morehouse School of Medicine, Atlanta, GA, USA

    Herman A. Taylor, Jr.

  3. School of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA

    Carlos J. Rodriguez

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Gillespie, R., Budoff, M. (2021). Coronary Calcium Scoring in African American and Hispanic Patients. In: Ferdinand, K.C., Taylor, Jr., H.A., Rodriguez, C.J. (eds) Cardiovascular Disease in Racial and Ethnic Minority Populations. Contemporary Cardiology. Humana, Cham. https://doi.org/10.1007/978-3-030-81034-4_15

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  • DOI: https://doi.org/10.1007/978-3-030-81034-4_15

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-81033-7

  • Online ISBN: 978-3-030-81034-4

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