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Living with high calcium score

Heart & Blood Health | Last Active: Oct 24 1:03pm | Replies (77)

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Sorry here is the rest of my results and advice would be great. I'm a bit confused. I have an appointment with the cardiologist of a couple of weeks. I really don't want to go on a state . I've reduce
Y high sugar and trans fat, fat period. I drink nothing but water with neon juice and cumbers now.

FINDINGS:

Coronary anatomy: There is no evidence for anomalous coronary
arteries.

Dominance: Right

Left main: No plaques or stenosis. Normal bifurcation into LAD
and circumflex.

LAD and diagonal branches: The proximal LAD demonstrates minimal
scattered calcified plaque, 1-24% stenosis. The mid and distal
segments are patent.. 2 patent diagonal branches are noted.

Circumflex and obtuse marginal branches: The proximal left
circumflex demonstrates minimal calcified plaque, 1-24% stenosis.
2 patent obtuse marginal branches are noted.

RCA: The proximal RCA demonstrates minimal calcified plaque,
1-24% stenosis. The mid vessel is patent. The distal vessel
demonstrates minimal calcified plaque, 1-24% stenosis.

Cardiac morphology: The right and left atria and ventricles are
morphologically normal.

Valves: Normal CT appearance of the aortic and mitral valves,
without calcification.

Pericardium: Normal pericardial thickness. No pericardial
effusion or calcification.

Aorta: There is evidence of atherosclerotic disease of the aortic
arch.

Noncardiac findings: None

Impression:

Please see separate dictation for cardiac findings.

Noncardiac findings: None significant.

Addendum: The calculated Agatston score is 169 A.U. The observed
calcium score is at 97 percentile for subjects of the same age,
gender, and gray/ethnicity were free of clinical cardiovascular
disease and treated diabetes (MESA NIH database.)

Addendum:

Coronary artery disease involving the LAD, left circumflex and
RCA as reported above, with largest degree of stenosis 1-24%.

Noncardiac findings: None

Primary Diagnostic Code: NO ALERT REQUIRED

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Replies to "Sorry here is the rest of my results and advice would be great. I'm a bit..."

@ladijoka I just ran across your post. I suspect you may have already discussed this with your cardiologist. On the chance that you haven't, my read is that none of your arteries have more than a 25% blockage. Patent means essentially clear I think. Atherosclerosis blocks the arteries. It grows over time and eventually some of the blockage will calcify. Rust/debris in a pipe is an analogy that is often used. For perspective on your blockages, I don't think an intervention happens until an artery is more than 70% blocked. So it seems to this non-medical person that you are in good shape. The 97 percentile is concerning. I believe this means that your score is higher than 97% of people your age and gender. Given the relatively low absolute score, I'd guess you are young? So my take is no real problems yet, but a red flag to start making the lifestyle and other changes that will halt the progression. But as I said, I'm no doctor. I have a 98% score but the absolute value is much higher than yours - I'd guess because of age/gender. Good luck!