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Previous Volume 361:990-997 September 3, 2009 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 52-year-old man requests a coronary-artery calcium (CAC) scan for assessment of his risk of coronary events after seeing an advertisement from a local facility that offers the test. He has no symptoms of cardiac disease, has never smoked, and is not overweight, but he does not exercise regularly. His father, who was a heavy smoker, had a fatal myocardial infarction at . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Medicine, Center for Cardiovascular Quality and Outcomes Research, Northwestern University Feinberg School of Medicine; and Northwestern Memorial Hospital — both in Chicago.

An audio version of this article is available at NEJM.org.

Address reprint requests to Dr. Bonow at the Northwestern University Feinberg School of Medicine, 676 N. St. Clair St., Suite 600, Chicago, IL 60611, or at r-bonow@northwestern.edu.

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