ACR Appropriateness Criteria® Asymptomatic Patient at Risk for Coronary Artery Disease: 2021 Update. Journal Article


Authors: Ghoshhajra, BB; Hedgire, SS; Hurwitz Koweek, LM; Beache, GM; Brown, RKJ; Davis, AM; Hsu, JY; Johnson, TV; Kicska, GA; Kligerman, SJ; Litmanovich, D; Maroules, CD; Meyersohn, N; Rabbat, MG; Villines, TC; Wann, S; Abbara, S
Article Title: ACR Appropriateness Criteria® Asymptomatic Patient at Risk for Coronary Artery Disease: 2021 Update.
Abstract: Coronary atherosclerotic disease is a leading cause of mortality and morbidity due to major cardiovascular events in the United States and abroad. Risk stratification and early preventive measures can reduce major cardiovascular events given the long latent asymptomatic period. Imaging tests can detect subclinical coronary atherosclerosis and aid initiation of targeted preventative efforts based on patient risk. A summary of available imaging tests for low-, intermediate-, and high-risk asymptomatic patients is outlined in this document. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Journal Title: Journal of the American College of Radiology : JACR
ISSN: 1558-349X; 1546-1440
Publisher: Unknown  
Date Published: 2021
LUC Authors
  1. Mark Rabbat
    88 Rabbat
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