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Should men over 40 be screened for coronary artery disease?(PRO & CON)
Publication: Internal Medicine News Publication Date: 15-DEC-04 Author: Berman, Daniel S. ; Gibbons, Raymond J.
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COPYRIGHT 2004 International Medical News Group
YES
Measuring coronary calcium load by electron-beam or multislice computed tomography is a relatively low-cost test that identifies men with atherosclerosis who are also at risk for developing coronary heart disease.
Screening for coronary atherosclerosis would allow physicians to treat at-risk people with the potent drugs available for controlling hyperlipidemia and hypertension, as well as more aggressively applying smoking cessation, diet, regular exercise, and stress reduction.
Measuring coronary calcium provides incremental information about a person's risk of having coronary atherosclerosis and coronary disease that goes beyond what's estimated using conventional risk factors and the Framingham risk score.
The screening strategy 1 recommend follows the most recent guidelines from the National Cholesterol Education Panel (NCEP III) and focuses on men who are...
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