Abstract

LLUBERAS, Natalia. Coronary calcium score in cardiovascular risk stratification. Rev.Urug.Cardiol. [online]. 2019, vol.34, n.3, pp.283-304.  Epub Dec 01, 2019. ISSN 0797-0048.  https://doi.org/10.29277/cardio.34.3.23.

Cardiovascular disease is the leading cause of death in the world and in Uruguay. Cardiovascular prevention consists of a therapeutic clinical approach with the objective of reducing cardiovascular morbidity and mortality based on the estimated cardiovascular risk of each person. Thus, cardiovascular risk stratification in asymptomatic individuals with the objective of guide and establish preventive treatment measures is of crucial importance. For this, clinical risk scores are used worldwide, including the Framingham risk score, the SCORE1 and the Pooled Cohort Equations2, among others. However, these risk scores are not perfect prediction tools. While these global risk scores estimate risk based on the distribution of the risk factor in a population, the coronary calcium score is a direct marker of coronary atherosclerosis in a given individual. In the last three decades, numerous studies have demonstrated the usefulness of the coronary calcium score as a cardiovascular risk stratification tool. It is therefore important to understand how, for what and why it is done.

Keywords : Coronary calcium score; Cardiovascular diseases; Risk assessment.

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