Predicting cardiovascular events with coronary calcium scoring.

摘要

The thoughtful clinician takes it to be self-evident that intensity of therapy should be proportional to risk of disease.1-2 Ever since Bigger coined the term "risk stratification" to characterize this intuitive process,3 more than 3000 articles (according to a recent PubMed literature search) have been published on the subject-at a rate that is doubling every 5 years.4 Nearly 40% of these articles focus on cardiovascular medicine, where "risk stratification" has become something of a mantra for rational, evidence-based clinical management.