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hello everybody i am malin desai iamp;#39;m a cardiologist here at cleveland clinic in cleveland ohio and i would like to talk to you about a an important initiative that we are about to embark upon as many of us know with aging and various cardiovascular risk factors there is increased prevalence of coronary artery disease which is still the number one killer uh in the developed world atherosclerosis typically tends to build up as a calcific and non-calcific plaque a hardened plaque and non-hardened plaque and there are ways to recognize that as a tool to help us stratify patients in terms of their risk one such important tool is a cat scan a coronary artery calcium cat scan that has been employed in this for a while and i would like to talk to you about the important new initiative that we have in place now uh coronary artery calcium scan it is a ct scan that is done on the routine cat scanners uh where you do not need a contrast agent any no iodinated contrast agent and itamp;#39;