Hey guys, just a brief background. Dr. Malcolm Kendrick brought out a rather provocative blog post in January,

and I chatted to him afterwards, and we agreed to be a great idea to get with Dr. Scott Murray cardiologist

and thrashed the issue out in kind of a friendly debate or discussion. So I think you'll get a lot of useful information here,

which really clarifies the issue.

And watch out for the Kickstarter campaign for extra time, a new movie from Donald O'Neill of

serial killers and it will follow people who have gotten their scan results and taken action to

prevent that future heart attack. So if you want to know what your risk is for heart disease, have a coronary calcium

score.

Here we are with Dr. Malcolm Kendrick and Dr. Scott Murray, Cardiologist, and we're going

to get into the nitty gritty of coronary archery calcification scanning

CAC should one get one or not and I think we agreed guys that we're going to start off today with the

one of the questions we didn't get to before and it's around whether a randomized control trial

is needed to prove that a high score high risk patient getting the score

and then actions are taking that the actions will actually lead to better outcomes

and that RCT question will also tie in with screening in general how effective

is screening and it has it always been proven to be effective in getting actual

outcomes improved or is sometimes is it a paper tiger?

So I think Malcolm, if you could kick off first for your thoughts on screening and the need

for potentially an RCT or randomized control trial.

Thanks.

Yeah.

I think this is where it kind of is where my concerns lie, if you like, about it.

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