The Role of Cardiovascular CT in Occupational Health Assessment for Coronary Heart Disease: an Expert Consensus Document from the Society of Cardiovascular Computed Tomography (SCCT)

In response to the increasing application of cardiovascular computed tomography (cardiovascular CT), the Society of Cardiovascular Computed Tomography (SCCT) guidelines committee has produced this document to guide the use of cardiac CT in the risk assessment of coronary artery disease (CAD) in occupational health evaluation. The purpose of this document is to support quality care given to individuals who undergo occupational health evaluation for the diagnosis of CAD. This document reviews evidence regarding the prevalence of coronary artery disease (CAD), the incidence of major adverse cardiac events (MACE), and the recommendations for enhanced cardiovascular screening and investigation for CAD evaluation amongst safety sensitive occupations. This document examines occupation risk categories where cardiac CT may be appropriate to investigate for CAD and evaluates available testing strategies for risk assessment.