The Last Mile in Prevention—Can Coronary CT Angiography Help?

We know how to prevent the majority of atherosclerotic cardiovascular disease (ASCVD), but this knowledge has not yet been translated into routine practice. Despite clear evidence that a healthy diet and physical activity improve cardiovascular outcomes, only a minority of adults adhere to these behaviors. Similarly, inexpensive, effective therapies like statins prevent ASCVD in individuals at high risk of an event, and yet the vast majority of eligible individuals are not taking these therapies. Without adoption of healthy lifestyle behaviors and/or proven preventive therapies, it is not surprising that cardiovascular mortality continues to rise.