{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T21:04:21Z","timestamp":1793826261229,"version":"4.6.1"},"reference-count":25,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":366,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Cardiovascular Imaging"],"published-print":{"date-parts":[[2023,9]]},"DOI":"10.1016\/j.jcmg.2023.03.008","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T14:50:50Z","timestamp":1684939850000},"page":"1181-1189","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":129,"title":["When Does a Calcium Score Equate to Secondary Prevention?"],"prefix":"10.1016","volume":"16","author":[{"given":"Matthew J.","family":"Budoff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April","family":"Kinninger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Gransar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Achenbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouaz","family":"Al-Mallah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen J.","family":"Bax","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel S.","family":"Berman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Cademartiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy Q.","family":"Callister","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyuk-Jae","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin J.W.","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo C.","family":"Cury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudrun","family":"Feuchtner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Hadamitzky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joerg","family":"Hausleiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp A.","family":"Kaufmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathon","family":"Leipsic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8604-8715","authenticated-orcid":false,"given":"Fay Y.","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Jin","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Marques","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Pontone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronen","family":"Rubinshtein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslee J.","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd C.","family":"Villines","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James K.","family":"Min","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"25","key":"10.1016\/j.jcmg.2023.03.008_bib1","doi-asserted-by":"crossref","first-page":"2401","DOI":"10.1093\/eurheartj\/ehy217","article-title":"Ten-year association of coronary artery calcium with atherosclerotic cardiovascular disease (ASCVD) events: the multi-ethnic study of atherosclerosis (MESA)","volume":"39","author":"Budoff","year":"2018","journal-title":"Eur Heart J"},{"issue":"24","key":"10.1016\/j.jcmg.2023.03.008_bib2","doi-asserted-by":"crossref","first-page":"e285","DOI":"10.1016\/j.jacc.2018.11.003","article-title":"2018 AHA\/ACC\/AACVPR\/AAPA\/ABC\/ACPM\/ADA\/AGS\/APhA\/ASPC\/NLA\/PCNA guideline on the management of blood cholesterol: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"73","author":"Grundy","year":"2019","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcmg.2023.03.008_bib3","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.1056\/NEJM199006143222403","article-title":"Ten-year mortality from cardiovascular disease in relation to cholesterol level among men with and without preexisting cardiovascular disease","volume":"322","author":"Pekkanen","year":"1990","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.jcmg.2023.03.008_bib4","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1093\/oxfordjournals.eurheartj.a015340","article-title":"Serum cholesterol and long-term prognosis in middle-aged men with myocardial infarction and angina pectoris: a 16-year follow-up of the Primary Prevention Study in G\u00f6teborg, Sweden","volume":"18","author":"Rosengren","year":"1997","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcmg.2023.03.008_bib5","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.jcct.2011.01.007","article-title":"Rationale and design of the CONFIRM (COronary CT Angiography EvaluatioN For Clinical Outcomes: An InteRnational Multicenter) Registry","volume":"5","author":"Min","year":"2011","journal-title":"J\u00a0Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.jcmg.2023.03.008_bib6","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1161\/CIRCULATIONAHA.111.081380","volume":"126","author":"Cho","year":"2012","journal-title":"Circulation"},{"key":"10.1016\/j.jcmg.2023.03.008_bib7","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1093\/eurheartj\/ehx774","article-title":"Prognostic value of coronary computed tomographic angiography findings in asymptomatic individuals: a 6-year follow-up from the prospective multicentre international CONFIRM study","volume":"39","author":"Cho","year":"2018","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcmg.2023.03.008_bib8","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.jcct.2015.12.005","article-title":"Long term prognostic utility of coronary CT angiography in patients with no modifiable coronary artery disease risk factors: results from the 5 year follow-up of the CONFIRM International Multicenter Registry","volume":"10","author":"Cheruvu","year":"2016","journal-title":"J\u00a0Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.jcmg.2023.03.008_bib9","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jcct.2009.03.004","article-title":"SCCT guidelines for performance of coronary computed tomographic angiography: a report of the Society of Cardiovascular Computed Tomography Guidelines Committee","volume":"3","author":"Abbara","year":"2009","journal-title":"J\u00a0Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.jcmg.2023.03.008_bib10","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1016\/0735-1097(90)90282-T","article-title":"Quantification of coronary artery calcium using ultrafast computed tomography","volume":"15","author":"Agatston","year":"1990","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcmg.2023.03.008_bib11","doi-asserted-by":"crossref","first-page":"2525","DOI":"10.1093\/eurheartj\/ehm355","article-title":"Joint ESC\/ACCF\/AHA\/WHF Task Force for the redefinition of myocardial infarction. Universal definition of myocardial infarction","volume":"28","author":"Thygesen","year":"2007","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcmg.2023.03.008_bib12","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1056\/NEJM199807233390404","article-title":"Mortality from coronary heart disease in subjects with type 2 diabetes and in non-diabetic subjects with and without prior myocardial infarction","volume":"339","author":"Haffner","year":"1998","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.jcmg.2023.03.008_bib13","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.atherosclerosis.2022.02.006","article-title":"Coronary artery calcium scores indicating secondary prevention level risk: findings from the CAC consortium and FOURIER trial","volume":"347","author":"Dzaye","year":"2022","journal-title":"Atherosclerosis"},{"key":"10.1016\/j.jcmg.2023.03.008_bib14","doi-asserted-by":"crossref","first-page":"e177","DOI":"10.1016\/j.jacc.2019.03.010","article-title":"2019 ACC\/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"74","author":"Arnett","year":"2019","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcmg.2023.03.008_bib15","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/S0140-6736(12)60141-X","article-title":"Coronary artery calcium for guiding statin treatment","volume":"379","author":"Blaha","year":"2012","journal-title":"Lancet"},{"key":"10.1016\/j.jcmg.2023.03.008_bib16","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1161\/CIRCULATIONAHA.113.003625","article-title":"Dyslipidemia, coronary artery calcium, and incident atherosclerotic cardiovascular disease: implications for statin therapy from the multi-ethnic study of atherosclerosis","volume":"129","author":"Martin","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.jcmg.2023.03.008_bib17","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.1161\/CIRCULATIONAHA.106.178458","volume":"114","author":"Budoff","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.jcmg.2023.03.008_bib18","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.jacc.2006.10.001","volume":"49","author":"Greenland","year":"2007","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcmg.2023.03.008_bib19","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.jcct.2017.02.010","article-title":"Clinical indications for coronary artery calcium scoring in asymptomatic patients: expert consensus statement from the Society of Cardiovascular Computed Tomography","volume":"11","author":"Hecht","year":"2017","journal-title":"J\u00a0Cardiovasc Comput Tomogr"},{"issue":"1","key":"10.1016\/j.jcmg.2023.03.008_bib20","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1093\/eurheartj\/ehz455","article-title":"2019 ESC\/EAS guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk","volume":"41","author":"Mach","year":"2020","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcmg.2023.03.008_bib21","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.jcmg.2015.11.011","article-title":"Noninvasive cardiovascular risk assessment of the asymptomatic diabetic patient: the Imaging Council of the American College of Cardiology","volume":"9","author":"Budoff","year":"2016","journal-title":"J\u00a0Am Coll Cardiol Img"},{"issue":"1","key":"10.1016\/j.jcmg.2023.03.008_bib22","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.atherosclerosis.2014.11.007","article-title":"Effects of cardiac medications for patients with\u00a0obstructive coronary artery disease by coronary\u00a0computed tomographic angiography: results from the multicenter CONFIRM registry","volume":"238","author":"Schulman-Marcus","year":"2015","journal-title":"Atherosclerosis"},{"key":"10.1016\/j.jcmg.2023.03.008_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajpc.2022.100318","article-title":"Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement","volume":"9","author":"Budoff","year":"2022","journal-title":"Am J Prev Cardiol"},{"issue":"5","key":"10.1016\/j.jcmg.2023.03.008_bib24","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s11883-011-0191-2","article-title":"MESA: The NIH-sponsored study that validates atherosclerosis imaging for primary prevention","volume":"13","author":"Zeb","year":"2011","journal-title":"Curr Atheroscler Rep"},{"issue":"1","key":"10.1016\/j.jcmg.2023.03.008_bib25","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jcmg.2022.06.018","article-title":"Major global coronary artery calcium guidelines","volume":"16","author":"Golub","year":"2023","journal-title":"J Am Coll Cardiol Img"}],"container-title":["JACC: Cardiovascular Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936878X23001511?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936878X23001511?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:54:49Z","timestamp":1761846889000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1936878X23001511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":25,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["S1936878X23001511"],"URL":"https:\/\/doi.org\/10.1016\/j.jcmg.2023.03.008","relation":{},"ISSN":["1936-878X"],"issn-type":[{"value":"1936-878X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"When Does a Calcium Score Equate to Secondary Prevention?","name":"articletitle","label":"Article Title"},{"value":"JACC: Cardiovascular Imaging","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcmg.2023.03.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 by the American College of Cardiology Foundation. Published by Elsevier.","name":"copyright","label":"Copyright"}]}}