Doctor insights on:
Calcified Plaque In Coronary Arteries
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Presence vs effect: Calcified plaque occurs when the cholesterol buildup of your arteries becomes calcified, a natural process. Treatment occurs when the narrowing either results in or is likely to result in problems like chest pains or a heart attack. It is impossible to treat widespread disease but for specific areas of narrowing or blockage, balloons, lasers, and other treatments are used. ...Read more
"No evidence of calcified plaques in coronary arteries or thoracic aorta. Therefore, calcium score is 0." T.chol150,gluc84. What's risk of MI in future?
CT CA score: Very low risk of CAD. Why was it done? ...Read more
"No evidence of calcified plaques in coronary arteries or thoracic aorta. Therefore, the calcium score is 0." How reliable is 0 CT score in predictin MI?
Need risk factors.: While a high coronary calcium score (CCS) is helpful (in the sense that it virtually guarantees that you have heart disease & need treatment), a low CCS isn't very helpful. It's better for you to decide based on traditional risk factors: age, diabetes, high blood pressure, cholesterol, family history, etc. At your age, even a CCS of 0 can be a false negative. TTYD or use HealthTap Prime to discuss ...Read more
Any drugs out there to break up plaque in coronary arteries rather than all invasive stuff? Clot buster drugs but nothing for plaque?
No.: The various kinds of plaque that build up in the arteries have been building up for years, in some cases even decades. There is no medicine that will undo the remodeling due to years or decades of high blood pressure, smoking, cholesterol, etc. The best strategy is to modify the modifiable risk factors (and hope you have good genes). ...Read more
Is it possible not to have any plaque in your coronary arteries at age 27? 0? Cleveland clinic says it's starts in your teens? Explain please?
Coronary plaque: Plaque can start at young ages. It is usually not obstructive until middle age however, but that isn't an absolute rule. It is prudent to have a good diet and exercise program starting in childhood to help minimize your chances of obstructive plaque. For some people medications are needed to control their lipids and vascular inflammation caused by atherosclerotic processes. ...Read more
Negligible plaque in the carotid and peripheral arteries, can I assume that it's the same for coronary artery?
PROBABLY AT YOUR AGE: Atherosclerosis is a systemic disease and affects vasculature all over our bodies. If non-invasive testing shows minimal plaque, AND MOST IMPORTANTLy, if you have no symptoms of chest pain/pressure, then probably you have no CAD and/or significant plaque in coronaries. ALSO, this holds if you are not diabetic. As a young person, most imp, check your lipids, address them if abnl, and healthy lifesty ...Read more
Does an angioplasty cure coronary artery disease? Will I have to have repeat angioplasties, or does this procedure prevent plaque from forming again?
No, Symptoms; ↑Ds: Angioplasty: hydraulic expansion of narrowing; damages artery & can easily recur: reason for stents & procedure further complicates the disease process. There has long been evidence that arterial disease is at least partially reversible, but MDs paid for treating symptoms. Optimize NMR particle test LDL?700 nmol/L, large HDL?9 µmol/L), HbA1c?6.0%, 5.0% optimal, SBP?120,?body fat,?activity. ...Read more
What triggers sudden rupturing of plaque in coronary artery, causing MI, is it sudden increase in high blood pressure? Is it the physical exertion of that moment? Or is just lack of luck?
Probably multiple causes, depending on the individual.
If someone figures this out they may get a Nobel prize. ...Read more
Had a CT A done, this was the results Mild calcification of the left main. Otherwise, normal coronary arteries. What does that mean?
Occult CAD present: There is evidence of coronary atherosclerosis in your arteries atleast in the left main artery and albeit mild. Over time cholesterol hardens and that is what CT scan picks up. So at your young age if there is early atherosclerosis, you should have your fasting lipid panel be checked and then modify your lifestyle to mitigate progression of cholesterol build in your arteries. ...Read more
Coronary artery calcification with fast heart rate...cant do activity without stop catching breath.take adalat (nifedipine) without good results...help?
Coronary artery calcification... I take adalat (nifedipine) blood pressure ok but heart rate high 110 at rest .feel heaveness on chest and shortness of breath.help?
Need examination: That is an abnormal resting heart rate and for someone your age & history of coronary artery calcification as you state- if this is entirely new for you in terms of symptoms then, your next move should be an ER facility. You are welcome to write to me with other questions if you'd like at: www.healthtap.com/drsaghafi but I don't think that should delay getting seen now. ...Read more
My coronary arteries are highly calcified. Does this mean that there is blockage? Other than angiogram, is there a less invasive test to show block?
Calcified CAD: Plaque in coronary arteries is in a real sense abnormal tissue. Calcium tends to accumulate in abnormal tissues in our bodies. This phenomenon is called dystrophic calcification. The amount of coronary artery calcium as detected by specialized ct scans can be used as a predictor of future cardiac events such as heart attack. ...Read more
CAD: Coronary artery disease and its sequelae are one of the leading cause of morbidity and mortality throughout the world. Certainly, genetics play a large role in plaque buildup. A diet low in fat/cholesterol and avoiding cigarettes are two of the best ways to reduce your chances of developing diseased arteries. ...Read more
If I had a negative stress echo, a negative ct coronary angiogram with clean arteries. What are the chances I still have plaque? Done at mayo clinic??
Plaque : You can't get guarantees but those data are as good as it gets. ...Read more
Is a coronary calcium ct scan a good test to see of there is plaque in the heart arteries? How accurate is it? My cta was inconclusive. Heart rate fas
Coronary Calcium: Coronary Calcium analysis is a method to detect calcified cholesterol in the coronary arteries. A score of zero is quite helpful and predictive in the correct age group. The difficulty is that in younger people, there may be noncalcified cholesterol plaques in the arteries which would not be detected on a coronary calcium screening test, so cardiac CTA or invasive angiography would be considered. ...Read more
33 yr old male. Cardiac cath 2 yrs ago showed plaque in arteries but no blockages. Having Symptoms now. Could I have blockage this young?
I'm getting a coranary cta this week. Doc said it will show arteries & heart. Will this show if I had a heart attack or plaque build up in arteries?
77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2 normal. Carotid doppler-hemdynamically signifc calcific plaque, 75%?
Stroke history?: Hi. I assume you've not had a stroke or TIA; please clarify if you have. That's what you want to prevent. Regardless of your LDL and HDL, you should be on a high dose statin. Regardless of your BP, you should be on an ACE inhibitor. You should be on some anti-platelet agent (e.g., clopidogrel). You should absolutely NOT smoke (I trust you've quit!). Good luck! ...Read more
Feed heart muscle: In humans usually two main coronary arteries come off the aorta to feed the heart muscle. The right coronary feeds the right side of the heart and some muscular wall between the two sides. The left coronary divides into the left anterior descending artery and the circumflex coronary artery. The arteries bring oxygen and food to heart muscle cells. ...Read more
Picture this: The coronary arteries branch off from the walls of the aorta, and dive into the outer layer of the heart mucle. On the left side, the left main artery branches into the left anterior decending (lad), which runs down the front wall of the heart, and the circumflex, which runs around the lateral wall. On the right, the right coronary artery runs along the bottom wall of the heart. ...Read more
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