The Cardiac Screening Initiative (CSI) is a prospective cohort study designed to detect coronary artery blockages in their very early stages. Data from the International Association of Chiefs of Police as well as the Officer Down Memorial Page demonstrates that law enforcement officers suffer death and disability from heart disease at much higher rates than the general population.
The screening initiative has four(4) phases:
1) Advanced Lipid Panel
This blood test is obtained after a 12 hour fast. It provides information regarding cholesterol quantity as well as cholesterol quality. This blood test looks at cholesterol particle size, density and number. It also has the ability to detect inflammation in the coronary arteries (signs of very early blockages) as well as pre-diabetes. More information can be found at:
2) Coronary Calcium Score
This is a very quick scan of the chest done on a CT scanner. It is designed to detect tiny flecks of calcium that exist within early blockages of the coronary arteries.
3) Exercise Treadmill Test
This test is simply a walk on a treadmill while an electrocardiogram (ECG) is monitored. It allows for the detection of obstructive blockages which may not be causing any symptoms.
4) Visit With Cardiologist
After the blood test, the calcium score and the stress test are completed, all officers will have an appointment with a cardiologist. This is done the same day as the treadmill test. The results of the testing will be reviewed and strategies for reducing risk and preventing a heart attack will be discussed. This appointment will be billed through the insurance with no cost to the officer.
It is my hope that we can identify public safety personnel that are at risk of heart attack and successfully reduce that risk.
Jonathan Sheinberg, MD, FACC
President and CEO, The Public Safety Cardiac Foundation
Cardiac Screening Initiative
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The Public Safety Cardiac Foundation is a 501(c)3 non-profit entity.