I am
heartfoundation.org.au|Helpline 13 11 12

For Professionals: Coronary artery calcium scoring

The National Heart Foundation of Australia Position Statement: Coronary artery calcium scoring for the primary prevention of cardiovascular disease in Australia.¹

Cardiovascular disease (CVD) is a leading cause of death in Australia² and contributes to a significant healthcare burden.³

The National Heart Foundation of Australia has published a position statement on coronary artery calcium scoring for the primary prevention of CVD.

The Heart Foundation recognises that the evidence for coronary artery calcium scoring to refine absolute CVD risk assessment, and to guide subsequent management, is evolving. This position statement provides practical advice for health professionals on the use of coronary artery calcium scoring to assist in defining risk, in conjunction with absolute CVD risk assessment⁴, for the primary prevention of CVD in Australia.

ACCESS THE POSITION STATEMENT

What’s in the position statement?

  • New recommendations for the use of coronary artery calcium scoring for the primary prevention of CVD for the Australian population
  • New advice for incorporating recommendations for coronary artery calcium scoring into practice
  • New algorithm for approaching coronary artery calcium scoring as part of primary prevention for the Australian population
  • New evidence reviews and evidence appraisal findings
  • Summary of the risks, benefits, resource and equity considerations for coronary artery calcium scoring

How was the position statement developed?

The position statement was developed by the National Heart Foundation of Australia and considers the evidence in the context of Australian practice. The position statement was written by members of an expert reference group, including a variety of leading topic experts and health professionals. A rigorous approach was used to develop this position statement and included consultation with multiple stakeholders and established methods to assess the certainty of the evidence. The Heart Foundation acknowledges that the limited availability of Australian published literature impacts on the certainty of the evidence. Therefore, this position statement provides conditional recommendations to guide health professionals on when a coronary artery calcium score may be useful to help determine a person’s risk of heart attack.

Further information about the development process can be found in the position statement.   

Clinical resources from the position statement

To support health professionals, we have developed a clinical factsheet and algorithm from the National Heart Foundation of Australia: Position Statement on coronary artery calcium scoring for the primary prevention of cardiovascular disease in Australia.

Clinical factsheet: The National Heart Foundation of Australia Position Statement on coronary artery calcium scoring for the primary prevention of cardiovascular disease in Australia 

This clinical factsheet provides a summary of the Heart Foundation’s position statement on coronary artery calcium scoring for the primary prevention of CVD in the Australian population and includes information about:

  • What is coronary artery calcium scoring
  • The role of coronary artery calcium scoring in reclassification of absolute CVD risk
  • Summary of main recommendations and key practice points
  • Potential benefits and harms and equity of access considerations
  • Summary of selected CVD risk-enhancing factors  
  • Algorithm for incorporating conditional recommendations from the position statement for coronary artery calcium scoring for the primary prevention of CVD

DOWNLOAD THE CLINICAL FACTSHEET

Algorithm for the approach to coronary artery calcium scoring for the primary prevention of CVD for the Australian population

Coronary artery calcium scoring can have a role in reclassification of absolute CVD risk for selected people in Australia. The position statement and algorithm outline the importance of using absolute CVD risk assessment, in conjunction with coronary artery calcium scoring. Using a shared decision-making approach that considers a person’s preferences and values is essential.

DOWNLOAD THE ALGORITHM


Resources for your patients

This plain language summary of the Heart Foundation’s position statement on the use of coronary artery calcium scoring for the primary prevention of CVD can be used to facilitate a discussion with your patients. The summary has been developed to help people understand:

  • What is coronary artery calcium scoring
  • The Heart Foundation’s position statement on coronary artery calcium scoring
  • What the recommendations mean for people 

Webinar 

Watch our webinar “Driving best practice CVD prevention in a post-COVID world”. Chaired by Prof Garry Jennings, our expert panel explore the latest evidence to support CVD risk assessment and management in primary care, including the latest on coronary artery calcium scoring.
Read more 

Find out more about absolute CVD risk assessment and management
References
  1. Jennings GLR, Audehm R, Bishop W, et al. National Heart Foundation of Australia: position statement on coronary artery calcium scoring for the primary prevention of cardiovascular disease in Australia. Med J Aust. 2021;214(9):434-439.
  2. Australian Bureau of Statistics. Causes of Death 2018 [Cat. No. 3303.0]. Canberra: ABS, 2019. Available from: https://www.abs.gov.au/ausstats/abs@.nsf/mf/3303.0
  3. Australian Bureau of Statistics. National Health Survey: First results 2017 – 18 Australia [Cat. No. 4364.0.55.001]. Canberra: ABS, 2018. Available from: https://www.abs.gov.au/statistics/health/health-conditions-and-risks/national-health-survey-first-results/2017-18
  4. National Vascular Disease Prevention Alliance. Guidelines for the management of absolute cardiovascular disease risk. National Stroke Foundation, 2012. Available from: http://www.cvdcheck.org.au/pdf/Absolute_CVD_Risk_Full_Guidelines.pdf

You might also be interested in

For professionals: Heart Health Checks

For professionals: Heart Health Checks

Heart Health Checks have been supported by Medicare since April 2019....

Acute Coronary Syndromes tools from the guidelines

Acute Coronary Syndromes tools from the guidelines

Assessment protocols and algorithm for health care professionals...

Heart Health Network

Heart Health Network

Heart Health Network

Heart Health Network is the Heart Foundation’s newsletter for health professionals delivered to your inbox once a month....

COVID-19 & cardiovascular disease

COVID-19 & cardiovascular disease

COVID-19 & cardiovascular disease

Information and resources for health care professionals....

Acute coronary syndromes (ACS) clinical resources

Acute coronary syndromes (ACS) clinical resources

Resources and clinical information for health professionals...

WEBINAR | Absolute CVD risk assessment practical update

WEBINAR | Absolute CVD risk assessment practical update

A multidisciplinary panel of experts discuss the practical application of absolute CVD risk assessment through Heart Health Checks....

This Father’s Day share the ways you protect your heart

This Father’s Day share the ways you protect your heart

This Father’s Day share the ways you protect your heart

Have you thought about what you are getting for your children this Father’s Day?...

Acute Coronary Syndromes (ACS) clinical guidelines

Acute Coronary Syndromes (ACS) clinical guidelines

Guidelines for acute coronary syndromes for clinical care of patients presenting with suspected or confirmed ACS....

WEBINAR | CVD & COVID-19

WEBINAR | CVD & COVID-19

WEBINAR | CVD & COVID-19

Ask the experts: caring for people with CVD during COVID-19...

Atrial Fibrillation (AF) clinical resources

Atrial Fibrillation (AF) clinical resources

Resources and clinical information for health professionals...

More Australians die of Heart Disease than any other cause.

More Australians die of Heart Disease than any other cause.

More Australians die of Heart Disease than any other cause.

And the heartache lasts a lifetime. But you can help the Heart Foundation fund life-saving research to keep more families together....

Jump Rope for Heart

Jump Rope for Heart

Jump Rope for Heart

Jump Rope for Heart teaches school children how to keep fit and healthy through skipping!...

MyMarathon

MyMarathon

MyMarathon

The fundraising race where you set the pace. Run, jog or walk MyMarathon at your own pace during October....

Physical activity in the workplace

Physical activity in the workplace

Physical activity in the workplace

Resources to help you create a more physically active workplace....

Building physical activity into urban planning and design

Building physical activity into urban planning and design

Building physical activity into urban planning and design

Resources available for built environment professionals to help guide in the development of active outdoor and indoor spaces....

Getting active at school

Getting active at school

Getting active at school

Physical activity resources for school staff....

Healthy Active by Design

Healthy Active by Design

Healthy Active by Design

Improving the design of our cities, towns, streets and buildings makes it easier for Australians to lead heart-healthy lives....

Your heart is your most important tool

Your heart is your most important tool

Your heart is your most important tool

Men’s Health Week is the perfect time to think about your heart....

Heart Age Calculator

Heart Age Calculator

Heart Age Calculator

Could you be at risk of heart disease? Get your estimated heart age now....

Stay informed about COVID-19

Stay informed about COVID-19

Stay informed about COVID-19

If you have heart disease, you are more vulnerable to severe complications....

Heart Healthy Dinner Plan

Heart Healthy Dinner Plan

Heart Healthy Dinner Plan

Sign up now and discover delicious, easy to follow dinner recipes. Plus shopping lists, tips and other helpful information to make healthy eating easy. ...

Heart Foundation recipes

Heart Foundation recipes

Heart Foundation recipes

Check out our recipe categories to find your next heart healthy meal....

Time to book a Heart Health Check?

Time to book a Heart Health Check?

Time to book a Heart Health Check?

If you're 45 and over, or 30 and over if you're of Aboriginal or Torres Strait Islander descent, you should book your Heart Health Check today...

Medical tests for heart disease

Medical tests for heart disease

Medical tests for heart disease

Learn about the common tests your doctor may want you to have to diagnose your heart condition....

How to make healthier meals at home

How to make healthier meals at home

How to make healthier meals at home

Cooking at home is often healthier than eating out....

Heart disease and pregnancy

Heart disease and pregnancy

Heart disease and pregnancy

Pregnancy is often referred to as the “ultimate stress test” for the body....

What is a heart attack?

What is a heart attack?

What is a heart attack?

The most common cause of a heart attack is coronary heart disease....

After being treated for atrial fibrillation, Boyd is now back on track

After being treated for atrial fibrillation, Boyd is now back on track

After being treated for atrial fibrillation, Boyd is now back on track

Running has been an important part of Boyd's life, so imagine his shock when a heart condition he had never heard of threatened to put a stop to it. ...

Coronary Artery Calcium Scoring

Coronary Artery Calcium Scoring

A coronary artery calcium score can be used following a Heart Health Check to estimate your risk of heart attack....

Risk factors for women

Risk factors for women

Risk factors for women

In Australia, 90% of women have one risk factor for heart disease, and 50% have two or more. ...

What is angina?

What is angina?

What is angina?

Angina is a type of chest pain or discomfort that’s a symptom of an underlying heart problem, usually coronary heart disease (CHD)....

Are you at risk of heart disease?

Are you at risk of heart disease?

Are you at risk of heart disease?

There is no single cause for any one heart condition, but there are risk factors that increase your chance of developing one. ...

What is a cardiac arrest?

What is a cardiac arrest?

What is a cardiac arrest?

With immediate help a cardiac arrest can be survived. Learn how to save a life....

What is coronary heart disease?

What is coronary heart disease?

What is coronary heart disease?

Coronary heart disease (CHD) or coronary artery disease occurs when a coronary artery clogs and narrows because of a buildup of plaque....

What is an arrhythmia?

What is an arrhythmia?

What is an arrhythmia?

Arrhythmia is a fault in the heart’s electrical system, which affects your heart’s pumping rhythm....

What is heart disease?

What is heart disease?

What is heart disease?

Heart disease is the broad term for conditions that affect the structure and function of the heart muscle. ...

Chest x-ray for heart disease

Chest x-ray for heart disease

Chest x-ray for heart disease

This test can help your doctor determine if there is anything wrong with your heart....

What is heart failure?

What is heart failure?

What is heart failure?

Heart failure is a condition where your heart isn’t pumping as well as it should be....

What is atrial fibrillation?

What is atrial fibrillation?

What is atrial fibrillation?

Atrial fibrillation is a type of arrhythmia where your heart beats irregularly and fast....

Heart conditions in women

Heart conditions in women

Heart conditions in women

Like men, women can be diagnosed with a range of heart conditions....