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A member asked:
I am a smoker. i have low bp and my weight is 50kg. i experience chest discomfort whenever i stand or walk. can a multislice coronary ct angio 256 miss a blockage even if my calcium score is 0?
3 doctors weighed in across 3 answers
Absolutely, Yet....: Mscct scanners/operators vary widely in quality, few as good as former imatron e-speed but purchased for ↓ed cost/promotion. Coronary angio far clearer than any of the ct scanners. Soft-plaque is problem; calcification=old stable plaque & not-visible, 0 score, if not enough. Far better option: get&optimize NMR particle test ldl& large hdl, also get hba1c ≤5.0%+stop smok, try ntg spray; ? Not hrt?
Answered 6/10/2014
4.9k views
2 questions: Coronary calcium screening and ccta angio provide different but related info. A coronary calcium score of 0 means there is no evidence of cholesterol in the heart blood vessels that the body has calcified; it would not determine anything about the presence of noncalcified, possibly obstructive disease. Ccta looks for obstruction. If is good quality study and normal, then no blockage.
Answered 8/18/2013
4.9k views
Less likely: If your calcium score is 0 and no plaque is seen, the chance of it being missed is minimal, unless the ct was not read properly.
Answered 8/18/2013
4.9k views
Related Questions
A member asked:
14000 wbc, 3.1 potassium, hemocrit 39.2 abs nuetophil 8.7 abs monocyte 1.1 on blood test while having chest pain. echo, stress,coronary CT angio clear?
A doctor has provided 1 answer
A member asked:
1400 wbc, 3.1 potassium, hemocrit 39.2 abs nuetophil 8.7 abs monocyte 1.1 on blood test while having chest pain. echo, stress, coronary CT angio clear?
A doctor has provided 1 answer
A member asked:
Follow up ? Re diagnosis of mild ectasia (3.8x3.7 cm) on ascending aorta via cardiac ct: have had chest x-rays in past years (2010) with only normal results. Is this something an X-ray could miss?
3 doctors weighed in across 3 answers
A member asked:
Chest pain exercise goes when stop almost instant. Had ecg, stress ecg, echo, cardiac mri/mra, 24h ecg. Age started 18 nw 22. Should I have CT angio?
A doctor has provided 1 answer
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