Release Date: October 2009
Summary of Recommendation / Supporting Documents
Summary of Recommendation
- The U.S. Preventive Services Task Force (USPSTF) concludes that
the evidence is insufficient to assess the balance of benefits
and harms of
using the nontraditional risk factors discussed in this statement to screen
asymptomatic men and women with no history of CHD to prevent CHD events
(select "Clinical
Considerations" for suggestions for practice when evidence is insufficient).
Grade: I Statement.
The nontraditional risk factors included in this recommendation
are high-sensitivity C-reactive protein (hs-CRP), ankle–brachial index (ABI), leukocyte count, fasting blood glucose level, periodontal disease, carotid
intima–media thickness (carotid IMT), coronary artery calcification
(CAC) score on electron-beam computed tomography
(EBCT), homocysteine level, and lipoprotein(a)
level.
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Supporting Documents
Using Nontraditional Risk Factors In
Coronary Heart Disease Risk Assessment, October 2009
Recommendation
Statement (PDF
File, 230 KB; PDF Help)
Supporting
Article (Helfand, et al.) (PDF
File, 170 KB; PDF Help)
Supporting
Article (Buckley, et al.) (PDF
File, 235 KB; PDF Help)
Evidence Synthesis (PDF
File, 1.7 MB; PDF Help)
Clinical
Summary (PDF
File, 52 KB; PDF Help)
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Current as of October 2009
Internet Citation:
Using Nontraditional Risk Factors In
Coronary Heart Disease Risk Assessment, Topic Page. U.S. Preventive
Services Task Force. October 2009. Agency for Healthcare Research
and Quality, Rockville, MD. http://www.ahrq.gov/clinic/uspstf/uspscoronaryhd.htm
540 Gaither Road Rockville, MD 20850