EBCT Calcium Score

Plaque burden & probability of significant CAD

CV risk implications

Recommendations

0-10

5% 0r lower probability of significant obstructive disease

Very Low to Low

No specific work-up would be recommended. Although primary prevention of CV disease should be discussed

11-100

Less than 20% probability that obstructive disease is present

Moderate

Daily use of coated aspirin and/or cholesterol lowering therapies should be considered

101-400

Moderate atherosclerosis and a high likelihood of moderate, non-obstructive CAD

Moderately High

An aggressive approach to lipid lowering, diabetes, hypertension, smoking, dietary counseling is recommended. Daily coated aspirin use and regular aerobic exercise should be instituted. Exercise stress testing and cholesterol lowering medication should be considered

>400 or > 75th percentile for age and sex

Advanced atherosclerotic plaque present. Moderate likelhood of at least one obstyructive coronary stenosis and high CVD risk

High

Undergo aggressive risk strategies listed above. Should be considered for a stress imaging study such as stress nuclear or echo testing.