Dr. Hava Heart
East Street
New York, NY 10021
|
April 15, 2001 |
Coronary Artery Calcification
Scoring was performed utilizing the GE Light Speed Plus
Cardiac CT. Images were obtained with prospective gating
at 2.5mm slice thickness and analyzed utilizing the
proprietary General Electric Software, SmartScore. Coronary
artery calcification is determined based on the volume/density
of calcified plaque and scored according to traditional
methods of Agaston and Johnston.
Results:
| Coronary Vessel |
Score |
| Left Main (LMA) |
0 |
| Left Anterior Descending (LAD) |
318 |
| Circumflex (LCA) |
43 |
| Right Coronary (RCA) |
87 |
| Posterior Descending (PCA) |
0 |
| Total |
448 |
Reference Norms for Calcium Scores:
Mean for apparently healthy people Mean for
Obstructive CAD
| age |
Men |
Women |
|
Men |
Women |
| 30-39 |
11 |
2 |
|
* |
* |
| 40-49 |
30 |
10 |
|
338 |
* |
| 50-59 |
130 |
54 |
|
652 |
329 |
| 60-69 |
273 |
97 |
|
768 |
469 |
| 70+ |
660 |
215 |
|
1503 |
1016 |
Conclusion:
Current data suggests that the amount of coronary
artery calcification is related to the severity of coronary
artery disease. The location of the calcium or its scored
value however does not necessarily correspond to the
site or degree of blockage within an individual vessel.
| MEN |
UNDER 40 |
40-49 |
50-59 |
OVER 60 |
| WOMEN |
UNDER 50 |
50-59 |
60-69 |
OVER 70 |
| Score |
Age and Gender Reference Guide for
Coronary Scoring ** |
| 0 |
Low |
Low |
Low |
Low |
| 1 to 10 |
Moderate |
Low |
Low |
Low |
| 11 to 100 |
Moderate-High |
Moderate |
Moderate |
Low |
| 101 to 400 |
High |
High |
Moderate-High |
Moderate |
| Over 400 |
High |
High |
High |
High |
The calcium scoring suggests:
| |
Risk of disease is low |
| |
Risk of disease is moderate |
| |
Risk of disease is moderate/high |
| X |
Risk of disease is high |
 Prevention
and detection of coronary artery disease should
be discussed with one’s physician. If a person
is in either of the last two categories further evaluation
is recommended.
|
