Doctor insights on:
Cardiac Calcium Score Interpretation
What is the average cardiac calcium score for a male aged 35-45 regardless of overall health? Can a score be reduced with diet, exercise, & time?
Unclear ebCT score: Not sure what "mass" or "volume" means in this context. The calcium score should be a single number. According to WebMD, 2007, a score of 11-100 means plaque is present, which means you have CAD, but you have only mild hardening in the coronary arteries. Your (lifetime) risk for heart attack is moderate (10+%). Talk with your physician about this result or use HealthTap Prime to upload the report. ...Read more
Cardiology: What can an alternative to having a cardiac treadmill or nuclear injection stress test? A calcium score?
Not exactly the same:
Different type of stress test are available (ekg treadmill, pharmacological or treatmill echo, pharma or treadmill nuclear). They all try to answer one question: are there blockages in the artery of the heart that cause insufficient blood supply to the heart under stress?
Calcium score tells you what is the burden of atherosclerosis (the disease that causes blockages in the artery) in your artery. ...Read more
My CTA cardiac showed a calcium score of zero. Does that mean I have absolutely no signs of the kind of plaque that gives you heart attacks??
C below: That probably means it shouldn't have been ordered in the first place ;) ...Read more
Had tests in feb2014: stressecho, ecg, echo all normal; calcium score 0.5; chest xray normal. Bp130/80, nape pain and left arm tingling. Cardiac still?
Cardiac Enzymes?: With the tests done that you are reporting the only thing I'd like to know to really take your symptoms out of the territory of the heart would be cardiac enzymes and the results of a 12 lead EKG. If those 2 things are normal then, any ongoing symptoms of left arm sensations would be extremely unlikely to be related to cardiac ischemia...especially if it is ongoing, 24/7 as opposed to episodic. ...Read more
Possibility of heart attack with normal: EKG, troponin, nuclear stress, cardiac MRI, echo, calcium score? I have chest / left arm pain. Need cath/CTA?
Any of those:
Normal coronary arteries do not have a detectible amount of coronary calcium, so normal is 0. A dectectible amount indicates a degree of cholesterol in the arteries which has calcified, so any of those numbers indicate coronary atherosclerosis.
An elevated score does not mean you have obstructive heart disease; it may be nonobstructive heart disease. It does mean you have increased risk. ...Read more
AnyDetectable Ca+ in: Artery walls reflects arterial plaque, >80% plaque no Ca+2 which any CT scanner can detect. Thus, if accurate, this does reflect coronary artery disease which typically begins in childhood & is driven by low fat diet. Optimize NMR lipoproteins, HbA1c & systolic BP to minimize artery Ds while promoting regression. Food choices first; Crestor, (rosuvastatin) Zetia, niacin, Vascepa, etc. Often help, yet secondary. ...Read more
CAD often = PAD: Calcium score of the coronary arteries indicates some degree of atherosclerosis or hardening of the arteries. The CTA does not specifically look at the rest of the body i.e. legs, neck, etc. However atherosclerosis is usually a systemic disease such that if there is CAD there is likely some degree of peripheral arterial disease (PAD) also. ...Read more
Coronary calcium score = 512 (lma 31 LAD 200 lcx 189 rca 91). Is this high score for my age. What these mean. Any concerns or further action needed.?
What is coronary calcium score? I had a CT scan and my total coronary calcium score is 102. What does this figure mean, bad, good or otherwise.
CAD & CALCIUM: The presence of calcium means hardening (atherosclerosis) of heart artery. Inside the artery wall the fat, inflammation and calcium form plaque. The larger the score, greater the plaque burden and high risk of heart attack. 0-10 no plaque. 11-100 mild. 101-400 moderate and >400 severe plaque. 102 is mild- moderate. Lipitor (atorvastatin) & Plavix good. Sometimes higher number but no obstruction on angiogram. ...Read more
What is the negatice predictive value of a coronary 64 slice ct angiogram Done at a reputable center... If the calcium score was 0 and CCTA negative??
"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
I had a coronary cta and calcium score that was normal 6 months ago. I do have Wolff-Parkinson-White syndrome but does the cta prove no heart attack?
CTA and heart attack:
A cta does not prove one has had a heart attack (mi). It onlyshows the anatomy of the coronary arteries. If they are diseased, you are more prone to developing a mi. Ekg's can show the presence of an acute mi or an old one.
At age 18, you are a bit you to have a cta. What was your physician (p) thinking when the p ordered the study? ...Read more
Had a calcium score, coronary cta & stress test bc of caroited artery bruit & chest pains... All norm! Is it safe to say the bruit/pain is benign?
Coronary CT angiogram shows extremely high calcium score of 4242 and ~ 70% blockage one artery. Next step cath angio. Should I consider atherectomy?
NO: You need a coronary angiogram-depending what it shows, you may need revascularization. Depending on location and extent, you may need surgery. Otherwise, balloon angioplasty followed by stenting is the treatment of choice. Atherectomy has a very limited and specific indication. If you need it, your interventionalist is the one to make the call. ...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
Sources may vary but...
Calcium score of 1-10 implies minimal identifiable atherosclerotic plaque with a very unlikely risk, less than 10%, of coronary artery disease.
Calcium score of 11-100 implies definite, at least mild atherosclerotic plaque formation with a likelihood of mild or minimal coronary artery narrowing. ...Read more
Atherosclerosis: Calcium scoring from CT scan of coronaries is adding up radio graphic sum of calcium found. A score of greater than 400 is high so 2100 is extremely high suggesting great amount of atherosclerosis in the coronary arteries. Some studies suggest greater risk of heart related problems with a higher score. I would recommend some close follow up with a cardiologist. ...Read more
Had VAP chol. Test overall num high, but ratios good LDL pattern A/B. Prim. DR encouraging statin. 43yr old male calcium score 0. Is statin neces.?
Depends on risks: Groups have different recommendations, which change. For >40yr w known atherosclerotic disease, kidney disease, diabetes, or >20% 10 year risk for MI (search "Framingham risk score calculator"), generally get statins.Low risk coronary artery calcium score can allow recalculation of risk score. Your doctor knows you better than we do; doing the risk score calculator & discussing at next appt worthwhile ...Read more
Earlier this year, I did calcium coronary score and results came 512? . I was wondering what this means? I am active, exercise every day for one t
Possible disease: Calcium in the coronary arteries indicates that there may be atherosclerosis present. Calcium appears in plaques due to microscopic changes stimulated by cholesterol which has accumulated. Symptoms do not usually occur unless the plaque blocks more than 70% of the vessel. A visit to a cardiologist should be considered to discuss risk factor modification and a possible work up to detect disease. ...Read more