​The CDC estimates that over 3 million Americans will experience a first heart attack in the next 5 years. The good news is most of them can be prevented by earlier coronary plaque detection followed by the recommended "disease-stopping" optimal medical therapy. 

We are committed to improving the cardiovascular health of our greater Princeton community. Part of that commitment is meeting an unmet need by creating the first Chronic Chest Pain Clinic in New Jersey. We employ AI-based technology to provide an answer by the end of the patient's first visit.

CADScore test is part of our initial evaluation of patients with chronic stable chest pain of undetermined cause. Some of these patients were already seen in the ER or Urgent Care, acute heart attack was ruled out and referred to us for further outpatient evaluation. Other patients are referred by their primary care providers. The rest are self-referred.

Every adult patient encounter is an opportunity for heart attack prevention beyond the short term. In patients 45 years and older with at least one risk factor (hypertension, smoking, dyslipidemia, insulin resistance, family history, elevated hs-CRP, unhealthy lifestyle, etc.), we will take the initiative to determine the patient's more long-term 3-5 year risk by recommending a coronary calcium scoring test. Depending upon the result, we will develop a personalized medical treatment plan to eliminate long-term heart attack risk to the maximum degree possible.

Overcoming the limitations the short-term prediction of CADScore and improving long-term patient outcomes while reducing healthcare costs:

CADScore detects acoustic vibrations from turbulent coronary blood flow  during diastole BUT it does not answer these questions:
(1) Are coronary plaques present or not? A CADScore of 1 to 20 does not mean that coronary plaques that can rupture in the future are not present.