Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr O'Malley and colleagues1 found that coronary calcification screening with
electron beam tomography (EBT) did not result in significant changes in individuals'
modifiable risk factors. As Greenland noted,2 adherence
to therapies is a multidimensional challenge. A single "motivational jolt"
such as EBT would be expected to rapidly fade without producing any behavioral
Sabaté E, Yach D. Screening for Coronary Calcification. JAMA. 2003;290(12):1576. doi:10.1001/jama.290.12.1576-a