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Question 48#

Which of the following cardiovascular risk factor assessment tools has not been demonstrated to be useful in the risk assessment for a first atherosclerotic cardiovascular event?

A. High-sensitivity C-reactive protein
B. Coronary artery calcium score
C. Carotid intima-media thickness
D. ABI (Ankle-Brachial Index)
E. Family history of premature coronary vascular disease

Correct Answer is C

Comment:

Carotid intima-media thickness. According to the latest American College of Cardiology/American Heart Association cardiovascular risk assessment guidelines, there is insufficient evidence available to recommend use of carotid intima-media thickness, ApoB, albuminuria, glomerular filtration rate, or cardiorespiratory fitness in cardiovascular risk assessment. There is adequate evidence to recommend use of high-sensitivity C-reactive protein, ABI, coronary artery calcium score, and a family history of premature cardiovascular disease for refinement of cardiovascular risk assessment.

Reference:

Goff Jr DC, Lloyd-Jones DM, Bennett G, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk. J Am Coll Cardiol. 2013. doi:10.1016/j.jacc.2013.11.005.