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BACKGROUND:Cardiac allograft vasculopathy (CAV) leads to impaired myocardial blood flow (MBF), increasing the risk of cardiovascular death or retransplant among heart transplantation (HT) recipients. Inclusion criteria included undergoing CAV screening with cardiac positron emission tomography scans and coronaryangiograms.
The last information available is that the patient was undergoing heart transplant evaluation. Only after her troponin peaked at 500,000 ng/L did she get her angiogram, which showed a 100% left main occlusion due to ruptured plaque. She died before she could get a heart transplant. RBBB, LAFB, and STE in I, aVL, V2 and V3.
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 risk factors for coronary artery disease eg LDL cholesterol, high blood pressure etc.
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