Coronary artery calcification by computed tomography in epidemiologic research and cardiovascular disease prevention

Akira Sekikawa, J. David Curb, Daniel Edmundowicz, Tomonori Okamura, Jina Choo, Akira Fujiyoshi, Kamal Masaki, Katsuyuki Miura, Lewis H. Kuller, Chol Shin, Hirotsugu Ueshima

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Both American and European guidelines recommend coronary artery calcification (CAC) as a tool for screening asymptomatic individuals at intermediate risk for coronary heart disease (CHD). These recommendations are based on epidemiologic studies mostly in the United States. We review (1) the use of CAC in primary prevention of CHD in the United States, (2) epidemiologic studies of CAC in asymptomatic adults outside of the United States, and (3) international epidemiologic studies of CAC. This review will not consider clinical studies of CAC among patients or symptomatic individuals. US studies have shown that CAC is a strong independent predictor of CHD in both sexes among middle-aged and old age groups, various ethnic groups, and individuals with and without diabetes and that CAC plays an important role in reclassifying individuals from intermediate to high risk. Studies in Europe support these conclusions. The Electron-Beam Tomography, Risk Factor Assessment Among Japanese and US Men in the Post-World-War-II birth cohort (ERA JUMP) Study is the first international study to compare subclinical atherosclerosis, including CAC among Japanese, Japanese Americans, Koreans, and whites. It showed that as compared with whites, Japanese had lower levels of atherosclerosis, whereas Japanese Americans had similar or higher levels. CAC is being increasingly used as a screening tool for asymptomatic individuals in Europe and the United States. CAC is a powerful research tool, because it enables us to describe differences in atherosclerotic burden across populations. Such research could identify factors responsible for differences among populations, which may improve CHD prevention.

Original languageEnglish
Pages (from-to)188-198
Number of pages11
JournalJournal of Epidemiology
Volume22
Issue number3
DOIs
Publication statusPublished - 2012 Oct 11

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Coronary Vessels
Cardiovascular Diseases
Tomography
Research
Coronary Disease
Epidemiologic Studies
Asian Americans
Atherosclerosis
World War II
X Ray Computed Tomography
Primary Prevention
Ethnic Groups
Population
Age Groups
Parturition
Guidelines

Keywords

  • Coronary artery calcification
  • Coronary calcium score
  • EBCT
  • MDCT
  • Primary prevention

ASJC Scopus subject areas

  • Epidemiology
  • Medicine(all)

Cite this

Coronary artery calcification by computed tomography in epidemiologic research and cardiovascular disease prevention. / Sekikawa, Akira; Curb, J. David; Edmundowicz, Daniel; Okamura, Tomonori; Choo, Jina; Fujiyoshi, Akira; Masaki, Kamal; Miura, Katsuyuki; Kuller, Lewis H.; Shin, Chol; Ueshima, Hirotsugu.

In: Journal of Epidemiology, Vol. 22, No. 3, 11.10.2012, p. 188-198.

Research output: Contribution to journalArticle

Sekikawa, A, Curb, JD, Edmundowicz, D, Okamura, T, Choo, J, Fujiyoshi, A, Masaki, K, Miura, K, Kuller, LH, Shin, C & Ueshima, H 2012, 'Coronary artery calcification by computed tomography in epidemiologic research and cardiovascular disease prevention', Journal of Epidemiology, vol. 22, no. 3, pp. 188-198. https://doi.org/10.2188/jea.JE20110138
Sekikawa, Akira ; Curb, J. David ; Edmundowicz, Daniel ; Okamura, Tomonori ; Choo, Jina ; Fujiyoshi, Akira ; Masaki, Kamal ; Miura, Katsuyuki ; Kuller, Lewis H. ; Shin, Chol ; Ueshima, Hirotsugu. / Coronary artery calcification by computed tomography in epidemiologic research and cardiovascular disease prevention. In: Journal of Epidemiology. 2012 ; Vol. 22, No. 3. pp. 188-198.
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