When CAC Tests Are Useful and When They Are Not | The Peter Attia Drive Podcast

Well SupportedA coronary artery calcium score of zero in young individuals (e.g., under 25 or 45-50) provides no additional risk stratification and is meaningless for risk assessment.

Not SupportedA negative coronary calcium score should not be used to alter clinical decisions when a high apob or another cause of vascular disease is present.

Partially SupportedIn older patients (e.g., 70-year-olds), a positive coronary calcium score of 50 provides limited additional information.

Partially SupportedCardiovascular risk assessment should consider a time horizon of 30 years or more.