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Post cath ECG: Now there are hyperacute T-waves again, and recurrent ST depression in V2 This ECG would normally diagnostic of OMI until proven otherwise No further troponins were measured, but it looks like there is recurrent OMI Next day: A CT CoronaryAngiogram was done (CTCA) CARDIAC MORPHOLOGY AND FUNCTION: 1. IMPRESSION: 1.
A CT CAC scan can only identify if there is calcified atherosclerosis, where it is and to what extent. A CTCA provides much more anatomical detail and can identify advanced plaque often missed by CT Coronary Artery Calcium Score scans alone. A CT CAC scan of 0 indicates no significant amount of calcified atherosclerosis.
There is an area of dense white in the middle of the circle consistent with atherosclerosis. They too have dense white masses consistent with coronaryatherosclerosis. However, in light of riskfactors for atherosclerotic disease and dynamic EKG changes today, we will pursue a CTCA tomorrow for further evaluation of coronaries.
The most common way to assess the presence and extent of coronary artery disease is with a CT scan, called a CT CAC score or CT CoronaryAngiogram. These noninvasive scans look directly at the coronary arteries rather than assessing for the riskfactors for coronary artery disease eg LDL cholesterol, high blood pressure etc.
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