Part 1: Heart Risk Checks Using Calcium Scans & CT Angiography | Dr. Eshwar Chandra | ACCC’25 Day 1

In this insightful post-lunch session from ACCC 2025 Day 1, Dr. Eshwar Chandra breaks down the role of Coronary Calcium Scoring (CAC) in refining cardiovascular risk prediction beyond traditional clinical scores like Framingham and ASCVD.

Highlighting how non-contrast gated CT scans can help reclassify risk in up to 45% of asymptomatic individuals, this talk covers:
The Agatston Score and its clinical thresholds
How calcium scores impact statin initiation decisions
Real-world limitations of CAC (e.g., lack of soft plaque detection, scan variability)
When and who should consider calcium scoring
The “Double Zero” benefit for long-term low-risk prediction

Dr. Eshwar Chandra emphasizes that calcium scoring should not be used in isolation but rather as a supplementary tool to clinical risk stratification—especially in borderline and intermediate-risk patients.

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