Would you consider coronary artery calcium scoring or coronary CTA for asymptomatic elite competitive sports athletes undergoing routine screening visits, without a family history significant for coronary artery disease?  

I think that would be a "bridge too far" given no family history of premature CAD if we are speaking about a young athlete. If we are speaking about an obese 65-year-old who recently retired and has decided to train for a marathon which has been his/her goal for many years, then yes, coronary calciu...