EDUCATION IN HEART
Coronary disease
Non-invasive screening for coronary artery disease: calcium scoring
1 Department of Cardiology, West-German Heart Center, University Duisburg-Essen, Essen, Germany
2 Department of Internal Medicine I and Cardiology, Alfried Krupp von Bohlen and Halbach Hospital, Essen, Germany
3 Cardioangiologisches Centrum Bethanien, Frankfurt, Germany
Correspondence to:
Professor Raimund Erbel, Department of Cardiology, West-German Heart Center Essen, University Duisburg-Essen, Hufelandstr 55, D-45122 Essen, Germany; erbel@uk-essen.de
| The first 150 words of the full text of this article appear below. |
Despite the decrease in overall mortality from coronary artery disease, the number of out-of-hospital deaths from myocardial infarction is in the range of 60% of all infarct related case fatalities.1 In patients with known risk of sudden cardiac death (SCD), such as survived resuscitation, left ventricular aneurysm or low left ventricular ejection fraction, the incidence of SCD is in the region of 30% per year. In the general population, it is only 0.5% per year.2 However, the absolute number in this group is 10 times higher than in the patient population with known SCD risk, reaching more than 300 000 case fatalities per year in the USA.2 Even renowned cardiologists such as Ronald W Campbellw1 and Jeffry M Isnerw2, who were experts on the topic of arrhythmias and myocardial infarction, suffered SCD. The MONICA (Monitoring trends and determinants in Cardiovascular disease) study reported that of all coronary
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