Unfortunately, stress tests are utilized too often for screening. And they can give a false sense of security. Just ask Tim Russert's family - and countless others that have had events - often fatal - after having a negative stress test. There are a couple of alternatives: CIMT and Coronary Calcium. I prefer CIMT for several reasons. But CIMTs are often difficult to access. Coronary Calcium is also good as a screening tool. (Contrary to what many believe, there's a good case for occasional use sequentially as well. See Budoff 2013 and John's video on CACS.) This video covers the 2006 publication of the AHA scientific policy document on CAC for screening purposes. It also covers some basic history and interpretation of the Agatston score- still the best scoring method for CAC.
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