Table 4: Recommendation for the use of the CAC score in asymptomatic patients [31].

Guideline

Low risk

Low risk + DM

Low risk + F/H/O premature CAD

INTERMEDIATE RISK

HIGH RISK

ADA

NO

NO

NO

NO

NO

ESC / EASD

 

 

 

IIb

 

ACC/AHA*

IIb

IIb

IIb

IIb

IIb

Diretriz da SBC/CBR

II

IIa

IIa

I

III

AACE

 

IIb

IIb

IIb

 

ACR

Typically inappropriate

 

Can be appropriate

Appropriate

Typically inappropriate

*IIb: If, after risk assessment, the treatment based on the decision is uncertain, evaluation with the CAC score can be considered in order to define the most appropriate therapeutic strategy.