Breast Arterial Calcium: A Game Changer in Women's Cardiovascular Health?

Renato Quispe; Mahmoud Al-Rifai; Philip A. Di Carlo; Erin D. Michos; Nivee P. Amin; Sina Kianoush; Catherine E. Handy; John W. McEvoy; Michael J. Blaha; Khurram Nasir; Roger S. Blumenthal; Rajesh Tota-Maharaj; Joao A.C. Lima; Josep Comin-Colet; Miguel Cainzos-Achirica

doi:10.1016/j.jcmg.2018.07.035

Breast Arterial Calcium: A Game Changer in Women's Cardiovascular Health?

Renato Quispe, Mahmoud Al-Rifai, Philip A. Di Carlo, Erin D. Michos, Nivee P. Amin, Sina Kianoush, Catherine E. Handy, John W. McEvoy, Michael J. Blaha, Khurram Nasir, Roger S. Blumenthal, Rajesh Tota-Maharaj, Joao A.C. Lima, Josep Comin-Colet, Miguel Cainzos-Achirica

Research output: Contribution to journal › Review article › peer-review

25 Scopus citations

Abstract

In 2018, cardiovascular disease (CVD) was the leading cause of death among women, and current CVD prevention paradigms may not be sufficient in this group. In that context, it has recently been proposed that detection of calcification in breast arteries may help improve CVD risk screening and assessment in apparently healthy women. This review provides an overview of breast arterial anatomy; and the epidemiology, pathophysiology, and measurement of breast artery calcium (BAC); and discusses the features of the BAC-CVD link. The potential clinical applications that BAC may offer for CVD prevention in the context of current clinical practice guidelines and recommendations are also discussed. Finally, current gaps in evidence gaps are outlined, and future directions in the field are explored with a focus on the implementation of BAC mammography as a CVD risk-screening tool in routine clinical practice.

Original language	English (US)
Pages (from-to)	2538-2548
Number of pages	11
Journal	JACC: Cardiovascular Imaging
Volume	12
Issue number	12
DOIs	https://doi.org/10.1016/j.jcmg.2018.07.035
State	Published - Dec 2019

Keywords

breast artery calcium
cardiovascular disease
risk assessment
screening
women
women's health

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1016/j.jcmg.2018.07.035

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Quispe, R., Al-Rifai, M., Di Carlo, P. A., Michos, E. D., Amin, N. P., Kianoush, S., Handy, C. E., McEvoy, J. W., Blaha, M. J., Nasir, K., Blumenthal, R. S., Tota-Maharaj, R., Lima, J. A. C., Comin-Colet, J., & Cainzos-Achirica, M. (2019). Breast Arterial Calcium: A Game Changer in Women's Cardiovascular Health? JACC: Cardiovascular Imaging, 12(12), 2538-2548. https://doi.org/10.1016/j.jcmg.2018.07.035

Quispe, R, Al-Rifai, M, Di Carlo, PA, Michos, ED, Amin, NP, Kianoush, S, Handy, CE, McEvoy, JW, Blaha, MJ, Nasir, K, Blumenthal, RS, Tota-Maharaj, R, Lima, JAC, Comin-Colet, J & Cainzos-Achirica, M 2019, 'Breast Arterial Calcium: A Game Changer in Women's Cardiovascular Health?', JACC: Cardiovascular Imaging, vol. 12, no. 12, pp. 2538-2548. https://doi.org/10.1016/j.jcmg.2018.07.035

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abstract = "In 2018, cardiovascular disease (CVD) was the leading cause of death among women, and current CVD prevention paradigms may not be sufficient in this group. In that context, it has recently been proposed that detection of calcification in breast arteries may help improve CVD risk screening and assessment in apparently healthy women. This review provides an overview of breast arterial anatomy; and the epidemiology, pathophysiology, and measurement of breast artery calcium (BAC); and discusses the features of the BAC-CVD link. The potential clinical applications that BAC may offer for CVD prevention in the context of current clinical practice guidelines and recommendations are also discussed. Finally, current gaps in evidence gaps are outlined, and future directions in the field are explored with a focus on the implementation of BAC mammography as a CVD risk-screening tool in routine clinical practice.",

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author = "Renato Quispe and Mahmoud Al-Rifai and {Di Carlo}, {Philip A.} and Michos, {Erin D.} and Amin, {Nivee P.} and Sina Kianoush and Handy, {Catherine E.} and McEvoy, {John W.} and Blaha, {Michael J.} and Khurram Nasir and Blumenthal, {Roger S.} and Rajesh Tota-Maharaj and Lima, {Joao A.C.} and Josep Comin-Colet and Miguel Cainzos-Achirica",

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doi = "10.1016/j.jcmg.2018.07.035",

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AU - Amin, Nivee P.

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AU - Handy, Catherine E.

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AU - Blaha, Michael J.

AU - Nasir, Khurram

AU - Blumenthal, Roger S.

AU - Tota-Maharaj, Rajesh

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AU - Comin-Colet, Josep

AU - Cainzos-Achirica, Miguel

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AB - In 2018, cardiovascular disease (CVD) was the leading cause of death among women, and current CVD prevention paradigms may not be sufficient in this group. In that context, it has recently been proposed that detection of calcification in breast arteries may help improve CVD risk screening and assessment in apparently healthy women. This review provides an overview of breast arterial anatomy; and the epidemiology, pathophysiology, and measurement of breast artery calcium (BAC); and discusses the features of the BAC-CVD link. The potential clinical applications that BAC may offer for CVD prevention in the context of current clinical practice guidelines and recommendations are also discussed. Finally, current gaps in evidence gaps are outlined, and future directions in the field are explored with a focus on the implementation of BAC mammography as a CVD risk-screening tool in routine clinical practice.

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Breast Arterial Calcium: A Game Changer in Women's Cardiovascular Health?

Abstract

Keywords

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