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A CTCA provides much more anatomical detail and can identify advanced plaque often missed by CT Coronary Artery Calcium Score scans alone. CT Coronary Artery Calcium Score Scan CT Coronary Artery Calcium Score CT CoronaryAngiogram As you can see from the above images, the CTCA provides far more anatomical detail.
But can coronary artery disease be reversed with lifestyle measures, including changes to nutrition and exercise? Subscribe now To understand plaque regression, you must understand some key concepts about coronary artery plaque to appreciate the relevance of the studies we will discuss here.
Did minimal exercise. We look directly at the coronary arteries using a cardiac CT scan. Subscribe now Cardiac CT There are two types of cardiac CT: CT Coronary Artery Calcium (CAC) Scan CT CoronaryAngiogram (CTCA). This was compared to using exercise stress testing. 2018 Sep 6;379(10):924-933.
Past medical history includes coronary stenting 17 years prior. A b rief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality. Cardiology was consulted and the patient underwent coronaryangiogram which showed diffuse severe three-vessel disease.
The ECG in Figure-1 was obtained from a previously healthy middle-aged man — who while performing his regular exercise routine, developed "slight" chest discomfort and "palpitations". CT coronaryangiogram — No obstructive coronary disease. CT coronaryangiogram showed no obstructive coronary disease.
Furthermore, she denies any hydration since conclusion of exercise. Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. Type II MI), however decided to pursue coronaryangiogram out of an abundance of caution. 40; 1234-1241.
Previously healthy, taking no medication and exercising regularly. No anginal symptoms asymptomatic during physical exercise. CT coronaryangiogram showed a hypoplastic RCA and dominant LCx. See the September 14, 2018 post for a nice overview of this subject by Dr. Meyers. How will you manage this patient?
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