Prevention & lipidsGuideline or statement

Opportunistic Detection of Coronary Artery Calcium on Noncardiac Chest Computed Tomography: An Emerging Tool for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Association

CirculationPublished

  • Scientific statement

Recommendations

As issued by the authors

  1. Reporting opportunistic coronary artery calcium (CAC) from non-ECG-gated chest CT (≈19 million/year) can enhance ASCVD risk stratification without additional radiation, cost or burden

  2. Reporting opportunistic CAC may alert physicians of risk, independent of risk calculator use

  3. AI allows integration of automated CAC quantification into clinical practice

  4. Systematic approaches are needed to ensure appropriate reporting, interpretation and action while avoiding unnecessary downstream testing

  5. Implementation with tailored preventive care and streamlined multidisciplinary pathways (radiology, cardiology, primary care) is essential

Original publication

Opportunistic Detection of Coronary Artery Calcium on Noncardiac Chest Computed Tomography: An Emerging Tool for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Association. Circulation. Published 16 October 2025. doi:10.1161/cir.0000000000001382

Summarised from the published abstract; every number is checked against it