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Commentary
Dec 12 2011

Coronary Artery Calcium Scanning in Primary PreventionA Conversation With Cardiology Fellows

Author Affiliations

Author Affiliations: Harvard Medical School, Center for Cardiovascular Disease Prevention, Brigham and Women's Hospital, Boston, Massachusetts.

Arch Intern Med. 2011;171(22):2051-2052. doi:10.1001/archinternmed.2011.499

As medical educators, question and answer sessions with our trainees often provide opportunities to share insight into the complexity of medical practice. One such opportunity occurred over an informal dinner at the Brigham and Women's Hospital in Boston, Massacusetts, earlier this year, during which I responded to thoughtful questions about cardiac imaging from a group of our fellows. The following is a summary of that conversation, with citations added for clarity.

Question: Dr Ridker, is there evidence that patients who do not already have an indication for treatment benefit from a preventive therapy if they have a high coronary artery calcium (CAC) score?

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