Subjects found to have evidence of coronary artery calcium, endothelial dysfunction, diastolic dysfunction and/or presence of non-calcific atherosclerosis on CCTA with maximal stenosis < 50% will be referred to the cardiology clinic for assessment of cardiovascular risk and aggressive medical and lifestyle risk factor modification. Patients with stenosis ≥ 50% will also be referred to the cardiology clinic to be evaluated further for the need for additional ischemic testing at the discretion of the treating physician.