Obstructive coronary artery disease with a coronary artery calcium score of 0: A case report.
Charles Amir GermanJoseph T Nicolazzi DOPetro Gjini BsVivek MehtaRichard Brandon StaceyPublished in: Echocardiography (Mount Kisco, N.Y.) (2020)
Coronary artery calcium (CAC) scoring has emerged as a useful tool in identifying patients who may benefit from more aggressive risk factor modification and for prognostication. Although a CAC score of 0 is associated with a very low prevalence of obstructive epicardial coronary artery disease and low event rates, it can also provide a false sense of reassurance. We present a case of a 39-year-old woman with a CAC score of 0 obtained as part of a coronary computerized tomography angiography study that was ultimately found to have significant left anterior descending artery disease requiring percutaneous coronary intervention and a stent.
Keyphrases
- coronary artery disease
- coronary artery
- percutaneous coronary intervention
- pulmonary artery
- coronary artery bypass grafting
- risk factors
- st segment elevation myocardial infarction
- cardiovascular events
- acute myocardial infarction
- st elevation myocardial infarction
- antiplatelet therapy
- acute coronary syndrome
- optical coherence tomography
- computed tomography
- aortic stenosis
- type diabetes
- left ventricular
- pulmonary arterial hypertension