Heart scan

Posted by topsz @topsz, 8 hours ago

What scan is best to detect plaque? The new Cleerly method, CDC or CIMT?

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Invasive but visual? Angiography

Non-Invasive? MRI or Echo cardiogram

Contrast and radiographic? MIBI
https://www.sciencedirect.com/science/article/abs/pii/S0021915020315951

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I have heard pros and cons about the three methods I inquired about. Supposedly Cleerly is SOTA. But my MD wants me to have the calcium.. if I’m going to get it done I want the best images.

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@topsz

I have heard pros and cons about the three methods I inquired about. Supposedly Cleerly is SOTA. But my MD wants me to have the calcium.. if I’m going to get it done I want the best images.

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I was not aware of the Cleery until you posted it. It may be the ticket for you, but if it's not 'handy' at the moment, and you'd rather have a more immediate assessment (do NOT rely on the calcium score! It's only a current assessment of your general risk, NOT what is actually deposited. If you want real measurements of what is in place, of what is deposited, then you need imaging), an angiogram gives a cardiologist a good look at the openings around your aorta, any heart-feeding arteries whose openings he/she can access, and as importantly, at the valves.

One's carotid arteries, and not just the left anterior descending (LAD), are great indicators of deposition there and elsewhere. My dad's first imaging showed 100% blockage in his right carotid, and 90% in the left. The vascular surgeon said she could save the left, but that his right side was a total loss....forever. To get a good image of the carotid arteries, a Doppler ultrasound is a great investment.

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