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Screening for Coronary Artery Calcium with Computed Tomography: Angiography and Intervention in Patients with Scores Over 400 W. Goodwin, M. Fuseini, J. Norton, J.Mehta, E. Ferris; University of Arkansas for Medical Sciences, Little Rock, AR .

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Screening for Coronary Artery Calcium with Computed Tomography: Angiography and Intervention in Patients with Scores Over 400

W. Goodwin, M. Fuseini, J. Norton, J.Mehta, E. Ferris; University of Arkansas for Medical Sciences, Little Rock, AR



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males THE CT SCAN


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females THE CT SCAN


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total THE CT SCAN


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  • Mortality stenosis by angiography≥ 400 = 2.2%

  • Mortality < 400 = 0.03%

  • p<.0001


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Mortality in the group who had scores over 400 and who had an intervention was 2/44 or 4.5%

Mortality in the group who had scores over 400 and who did not have an intervention was 4/233 or 1.7%

p=.24 (not significant)

We will continue to follow these patients to see if a trend develops over time



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  • CT CORONARY CALCIUM SCORING DOES NOT: between the calcium score in a specific artery and the angiogram results for that artery

  • PREDICT WHICH SPECIFIC CORONARY ARTERIES ARE STENOTIC

  • PROVIDE ENOUGH INFORMATION TO BE CERTAIN WHO DOES AND WHO DOES NOT NEED INTERVENTION


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  • A HIGH CT CORONARY CALCIUM SCORE IS ASSOCIATED WITH: between the calcium score in a specific artery and the angiogram results for that artery

  • DIABETES

  • INCREASING AGE

  • CORONARY ATHROSCLEROSIS

  • SIGNIFICANT LUMINAL NARROWING

  • INCREASED MORTALITY

  • INCREASED CARDIAC DEATH


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