New screening modalities are raising questions about absolute risk scores

CONVENTIONAL wisdom holds that absolute risk (AR) scores are ideal for estimating the chance of a future cardiovascular event in asymptomatic patients with risk factors such as hypertension or elevated cholesterol.

But despite recommendations in clinical guidelines, GPs are screening fewer than one in three eligible patients with AR algorithms.

At the same time, advances in imaging technologies, such as coronary artery calcium scoring (CACS) and genetic testing, are proving