December 3, 2021

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Coronary Calcium Scan: A Coronary heart Check That Can Assist Information Therapy

Coronary Calcium Scan: A Heart Test That Can Help Guide Treatment

In an editorial on “The Potential and Pitfalls of Coronary Artery Calcium Scoring,” printed in JAMA Cardiology in October, Dr. Khan and her co-author, Dr. Ann Marie Navar, a heart specialist on the College of Texas Southwestern Medical Faculty, concluded that for middle-aged and older adults like my pal, the calcium take a look at is without doubt one of the greatest and most secure methods to establish the presence of in any other case hidden atherosclerosis.

Outcomes of a calcium scan will also be necessary for youthful women and men — and typically for his or her physicians, who could not take threat components in youthful sufferers as critically as they need to.

“Given the sturdy affiliation between coronary artery calcium and heart problems,” Drs. Khan and Navar wrote, “the presence of coronary artery calcium in younger adults ought to be a pink flag for a high-risk affected person.” As Dr. Khan defined in an interview, “The presence of any calcium in coronary arteries is an indication of getting coronary heart illness.”

When atherosclerosis first begins to develop, the arterial lesions, referred to as plaque, usually are not calcified, defined Dr. Philip Greenland, additionally a preventive heart specialist at Northwestern. Relatively, the lesions purchase the bony deposits over time that regularly improve when the plaque ruptures and is repaired. The therapeutic course of causes calcification, he mentioned.

Dr. Greenland cautioned that sufferers and docs ought to by no means assume {that a} calcium rating of zero means there’s nothing to fret about. He mentioned that in males underneath 40 and girls underneath 50, “you may’t depend on coronary artery calcium alone, as a result of the extent is often zero even within the presence of atherosclerosis.”

Relatively, he and Dr. Kahn mentioned, in youthful adults, follow-up exams and medical recommendation ought to be primarily based on the extent of sufferers’ cardiovascular threat, together with whether or not they have any signs of coronary heart illness, like shortness of breath when climbing stairs or chest ache when exerting themselves.

Dr. Greenland mentioned that individuals with “a low-risk issue profile and a calcium rating of zero have a type of guarantee that they gained’t have a coronary heart assault inside 10 years.”

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