|
|||||
|
|
Obstructive coronary artery disease with a coronary artery calcium score of 0: A case report |
|
| Authors: | Charles A. German MD MS Joseph T. Nicolazzi DO Petro Gjini BS Vivek Mehta MD Richard Brandon Stacey MD MS |
| Affiliation: | 1. Departments of Internal Medicine Section on Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA;2. Department of Internal Medicine, University of Illinois at Chicago, Chicago, IL, USA |
| Abstract: | 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. |
| Keywords: | atherosclerosis computerized tomography coronary arteriography coronary artery disease |