Coronary Artery Calcium: Utilization for Primary Prevention of CHDHarvey S Hecht
Lenox Hill Heart and Vascular Institute, 130 East 77th Street, New York, NY, 10021, USA
Curr Cardiol Rep 13:465-74. 2011
..5) Randomized controlled trials are not a prerequisite for implementation of CAC screening. 6) Trials evaluating lipid-treating drugs should exclude patients with 0 CAC. 7) CAC is the most cost-effective primary prevention approach...
- Relation of response of subclinical atherosclerosis detected by electron beam tomography to baseline low-density lipoprotein cholesterol levels
Harvey S Hecht
Beth Israel Medical Center, New York, New York 10003, USA
Am J Cardiol 93:101-3. 2004
..These findings indicate that subclinical atherosclerosis may respond to drug therapy in a fashion parallel to that of clinical disease demonstrated in the Heart Protection Study...
- Current and evolving stent evaluation by coronary computed tomographic angiography
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, Department of Cardiovascular Medicine, New York, New York, USA
Catheter Cardiovasc Interv 77:843-59. 2011
..To demonstrate the variety of stent abnormalities that may be evaluated by coronary computed tomographic angiography (CTA)...
- Stent gap by 64-detector computed tomographic angiography relationship to in-stent restenosis, fracture, and overlap failure
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, New York, New York, USA
J Am Coll Cardiol 54:1949-59. 2009
..The goal of this study was to define the frequency of stent gaps by 64-detector computed tomographic angiography (CTA) and their relation to in-stent restenosis (ISR), stent fracture (SF), and overlap failure (OF)...
- Is coronary computed tomographic angiography the "gold standard" for coronary artery disease?
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, 130 E 77th Street, New York, NY 10021, USA
J Cardiovasc Comput Tomogr 3:334-9. 2009
..In the interim, clinical judgment and common sense should be substituted for slavish adherence to an absolute "gold standard" for diagnostic imaging and total reliance on a single diagnostic test...
- How much calcium is too much calcium for coronary computerized tomographic angiography?
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, NY 10021 USA
J Cardiovasc Comput Tomogr 2:183-7. 2008
..Understanding the clinical goals of the CTA and the source and recognition of CAC-based imaging artifacts can enable accurate clinical CTA examinations even in the setting of high calcium scores...
- Coronary artery calcium scanning: Clinical paradigms for cardiac risk assessment and treatment
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, New York, NY 10021, USA
Am Heart J 151:1139-46. 2006
..Physician awareness of this technology and its appropriate uses and limitations is crucial to appropriate use...
- Usefulness of 64-detector computed tomographic angiography for diagnosing in-stent restenosis in native coronary arteries
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, New York, New York, USA
Am J Cardiol 101:820-4. 2008
..Quantitative analysis was less accurate...
- Applications of multislice coronary computed tomographic angiography to percutaneous coronary intervention: how did we ever do without it?
Harvey S Hecht
Department of International Cardiology, Lenox Hill Heart and Vascular Institute, New York, New York 1002, USA
Catheter Cardiovasc Interv 71:490-503. 2008
..The likely outcome is transformation of the catheterization laboratory into a streamlined interventional suite, utilizing on-line CTA data in an interactive format...
- The role of atherosclerosis imaging in redefining normal and abnormal cholesterol values, and risk reduction in primary prevention statin trials
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, 130 E 77th St, New York, NY 10021, USA
Curr Atheroscler Rep 13:422-30. 2011
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- Indications for multidetector computed tomographic coronary angiography after catheter-based coronary angiography
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, 130 E 77th Street, New York, NY, 10021, USA
J Invasive Cardiol 20:1-6. 2008
..This study was designed to evaluate the indications for performing multidetector computed tomographic coronary angiography (MDCTA) after catheter-based coronary angiography...
- Electron beam tomography and National Cholesterol Education Program guidelines in asymptomatic women
H S Hecht
Arizona Heart Institute and Foundation, Phoenix, USA
J Am Coll Cardiol 37:1506-11. 2001
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- Lipid disorders and plaque imaging
H S Hecht
Heart and Vascular Institute, Morristown, New Jersey 07960, USA
Am J Cardiol 88:56E-58E. 2001
..3) Drug treatment should focus on the asymptomatic patient with subclinical atherosclerosis. (4) Change in plaque rather than change in lipid values should guide treatment...
- New developments in atherosclerosis imaging: electron beam tomography
H S Hecht
Department of Preventive Cardiology and Electron Beam Tomography, Heart and Vascular Institute, 111 Madison Avenue, Morristown, NJ 07960, USA
Curr Atheroscler Rep 3:417-24. 2001
..Change in calcium score can be used to assess the efficacy of lipid therapy and will serve as a surrogate marker in drug studies. EBA provides effective, noninvasive visualization of native coronary arteries and bypass grafts...
- "Interventional lipidology": tomographic plaque imaging and aggressive treatment of metabolic disorders
Harvey S Hecht
Princeton Longevity Center, Princeton, New Jersey 08858, USA
Am J Cardiol 90:268-70. 2002
- Comparison of the effects of atorvastatin versus simvastatin on subclinical atherosclerosis in primary preventionas determined by electronbeam tomography
Harvey S Hecht
Beth Israel Medical Center, New York, New York, USA
Am J Cardiol 91:42-5. 2003
..This suggests that these hydroxymethylglutaryl coenzyme A reductase inhibitors exhibit a "class effect" with respect to progression of subclinical atherosclerosis...
- Comparison of effectiveness of statin monotherapy versus statin and niacin combination therapy in primary prevention and effects on calcified plaque burden
Harvey S Hecht
Beth Israel Medical Center, New York, NY, USA
Am J Cardiol 91:348-51. 2003
- Evaluation by electron beam tomography of changes in calcified coronary plaque in treated and untreated asymptomatic patients and relation to serum lipid levels
Harvey S Hecht
Phillips Ambulatory Care Center, Beth Israel Medical Center, New York, New York 10003, USA
Am J Cardiol 91:1131-4. 2003
- Relation of aggressiveness of lipid-lowering treatment to changes in calcified plaque burden by electron beam tomography
Harvey S Hecht
Beth Israel Medical Center, New York, New York 10003, USA
Am J Cardiol 92:334-6. 2003
..3%/year vs 9.1%/year). We conclude that, with respect to LDL cholesterol lowering, "lower is better" is not supported by changes in calcified plaque progression...
- Translating tomographic plaque imaging into treatment: interventional lipidology
Harvey S Hecht
Beth Israel Medical Center, New York, NY 10003, USA
Prog Cardiovasc Dis 46:149-70. 2003
..Other treatment applications of plaque imaging include triage of patients for stress testing and evaluation of stress test results...
- Relation of coronary artery calcium identified by electron beam tomography to serum lipoprotein levels and implications for treatment
H S Hecht
Arizona Heart Institute and Foundation, Phoenix 85006, USA
Am J Cardiol 87:406-12. 2001
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- Images in cardiovascular medicine. Caseous calcification of the mitral annulus by 64-detector-row computed tomographic coronary angiography: a rare intracardiac mass
Lev Lubarsky
Lenox Hill Hospital and Lenox Hill Heart and Vascular Institute, 130 E 77th St, New York, NY 10021, USA
Circulation 116:e114-5. 2007
- Spontaneous right coronary artery dissection: evaluation by 64-slice multidetector computed tomographic angiography
Lev Lubarsky
Lenox Hill Hospital and Lenox Hill Heart and Vascular Institute, New York, New York 10021, USA
J Invasive Cardiol 19:280-1. 2007
- Evaluation of myocardial bridging of the left anterior descending coronary artery by 64-slice multidetector computed tomographic angiography
Lev Lubarsky
Lenox Hill Heart and Vascular Institute, New York, New York, USA
Am J Cardiol 100:1081-2. 2007
..In conclusion, MB as demonstrated by 64-slice multidetector computed tomographic coronary angiography is more common than previously reported by coronary angiography. The bridged segment appears to be free of atherosclerosis...
- Multislice coronary computed tomographic angiography in emergency department presentations of unsuspected acute myocardial infarction
Harvey S Hecht
Lenox Hill Heart and Vascular Institute, 130 E 77th Street, New York, NY 10021, USA
J Cardiovasc Comput Tomogr 3:272-8. 2009
..Nonetheless, acute coronary syndromes may have atypical presentations, and CCTA may be inadvertently performed in this setting...
- Utility of coronary computed tomography guidance for intervention of an anomalous right coronary artery
James R Wilentz
Lenox Hill Heart and Vascular Institute, New York, NY 10021, USA
J Invasive Cardiol 21:374-6. 2009
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- Coronary artery aneurysms by noncontrast electron beam tomography
Harvey S Hecht
Beth Israel Medical Center and Continuum Heart Institute, New York, New York, USA
Clin Cardiol 28:236. 2005
- Consensus update on the appropriate usage of cardiac computed tomographic angiography
Michael Poon
The Zena and Michael A. Wiener Cardiovascular Institute, The Mount Sinai Medical Center, New York, New York, USA
J Invasive Cardiol 19:484-90. 2007
- Is the WHI relevant to HRT started in the perimenopause?
S Mitchell Harman
Kronos Longevity Research Institute, Phoenix, AZ, USA
Endocrine 24:195-202. 2004
..Furthermore, animal and clinical evidence supports the use of lower doses of estrogen than were employed in the WHI in older/longer postmenopausal women...
- Usefulness of computed tomographic angiography guided percutaneous coronary intervention
Harvey S Hecht
Am J Cardiol 99:871-5. 2007
..In conclusion, computed tomographic angiography has the requisite intravascular ultrasound characteristics to greatly impact percutaneous coronary intervention...
- Use of coronary calcification scores to predict coronary heart disease
Matthew J Budoff
JAMA 291:1832; author reply 1832-3. 2004
- From vulnerable plaque to vulnerable patient--Part III: Executive summary of the Screening for Heart Attack Prevention and Education (SHAPE) Task Force report
Morteza Naghavi
Association for Eradication of Heart Attack, Houston, Texas 77005, USA
Am J Cardiol 98:2H-15H. 2006
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- Computed tomographic angiography coming of age
Harvey S Hecht
Am J Cardiol 95:838-42. 2005
- Atherosclerotic risk factors revisited
Harvey S Hecht
Am J Cardiol 93:73-5. 2004
