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Coronary Heart Disease EpidemiologyFrom aetiology to public health$
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Michael Marmot and Paul Elliott

Print publication date: 2005

Print ISBN-13: 9780198525738

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198525738.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 04 August 2020

Non-invasive measures of preclinical coronary heart disease

Non-invasive measures of preclinical coronary heart disease

(p.688) Chapter 40 Non-invasive measures of preclinical coronary heart disease
Coronary Heart Disease Epidemiology

P. Greenland

Oxford University Press

This chapter reviews four non-invasive tests for detection of preclinical coronary heart disease (CHD) and for prediction of future coronary events in asymptomatic people: (a) coronary artery calcium detection by ultrafast computed tomography; (b) ankle-brachial blood pressure index; (c) B-mode ultrasound of the carotid artery for measurement of intima-media thickness; and (d) exercise stress testing. Each of these modalities has been studied in large samples of asymptomatic people in whom considerable follow-up and multivariable adjustment are available to determine incremental predictive value beyond standard risk factor measures.

Keywords:   cardiovascular disease, non-invasive testing, preclinical CHD, asymptomatic people

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