Defining a Rational Approach to Screening for Cardiovascular Risk in Asymptomatic Patients

Philip Greenland*, Donald Lloyd-Jones

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations

Abstract

Screening for coronary artery disease or for other forms of cardiovascular disease (CVD), is a superficially attractive idea that has been proposed by many cardiovascular experts. However, guidelines panels that employ medical outcomes and evaluation of a full range of benefits, risks, and harms of screening have repeatedly advised against the adoption of screening programs for CVDs. In this commentary, we discuss the limitations of the predictive capacity of selected cardiovascular screening tools. Possible harms and risks of screening tools are also discussed, and the conclusion is reached that available evidence does not provide support for adoption of a strategy of routine screening of asymptomatic people for CVD with available testing tools or devices. More evidence is needed to justify a policy of screening for CVD.

Original languageEnglish (US)
Pages (from-to)330-332
Number of pages3
JournalJournal of the American College of Cardiology
Volume52
Issue number5
DOIs
StatePublished - Jul 29 2008

Keywords

  • atherosclerosis
  • imaging
  • screening

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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