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Choosing Wisely Recommendations

Don’t order coronary artery calcium scoring for preoperative evaluation for any surgery, irrespective of patient risk.

Rationale and Comments

No evidence exists to support the diagnostic or prognostic potential of coronary artery calcium scoring in individuals in the preoperative setting. This practice may add costs and confound professional guideline-based evaluations.

Sponsoring Organizations

  • Society of Cardiovascular Computed Tomography

Sources

  • ACC/AHA guidelines

Disciplines

  • Cardiovascular
  • Surgical

References

  • Fleisher LA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. Circulation. 2007;116(17):e418–99.