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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.
Reversing or regressing coronary artery disease is possible. You cannot eliminate the plaque entirely, but multiple clinical trials have shown plaque regression using high-intensity cholesterol-lowering treatments, which I have discussed previously. REVERSAL Investigators. 2004 Mar 3;291(9):1071-80.
Subscribe now Cardiac CT There are two types of cardiac CT: CT Coronary Artery Calcium (CAC) Scan CT CoronaryAngiogram (CTCA). The CAC scan looks for deposits of calcium in the areas of the coronary arteries as a proxy marker for plaque. It’s not a good test for assessing for plaque in the arteries.
The coronaryangiogram revealed no critical stenosis, or acute plaque ulceration. Takotsubo should be a diagnosis of exclusion after angiography reveals no obstructive coronary disease, and repeat Echo displays left ventricular recovery. Furthermore, pertinent electrolyte values (e.g. Friedman, M., Saini, A.,
Can J of Cardiol 2018, 34: 132-145 Here are some other cases: LVH, LBBB, RBBB, and RVH may manifest ST depression without any ischemia! We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. Miranda DF, Lobo AS, Walsh B, et al.
CT coronaryangiogram showed a hypoplastic RCA and dominant LCx. There were no plaques or stenoses. See the September 14, 2018 post for a nice overview of this subject by Dr. Meyers. A workup was undertaken in search of a cause of the patient's ventricular arrhythmia.
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