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What Does My CT Scan Test Report Indicate?
Question: My wife had a CT cardiac scoring. Order by doctor at family clinic. In 2011. She had a calcium score, LAD: 68.0. L main: 0. LCX: 1.8. RCA: 19.7. Total: 89.5. She never had a follow up. I learn of score after I attained her medical records two weeks ago. Should she see Cardiologist?
Brief Answer:
No need at present, however treatment of other risk factors recommended.
Detailed Answer:
Hello I am Dr Mody and I would hereby addressing your concern. .
Calcium scoring has now been regarded as an independent risk factor for future cardiac events.
Generally it's score ranges from 0-400 and above.
0 Is clean arteries , more than 100 the relative risk become s 4%, however in different studies for critical stenosis ie. 70% the score was more than 371(usedascut off),
So with this score no need to visit a cardiologist at present
My recommendation are:
1)if other risk factors like diabetes, hypertension, obesity, smoking are present, primary prevent with statin group of drugs, exercise, diet and other lifestyle modifications are recommended ad the XXXXXXX score is in LAD which is the largest artery in most human hearts.
Any further information and clarification if needed, if would be happy to help. Also a regular follow up with your doctor atleast once a year recommended.
You may send her medication list and upload other relevant investigation, It would help me guide the future course of action.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
No need at present, however treatment of other risk factors recommended.
Detailed Answer:
Hello I am Dr Mody and I would hereby addressing your concern. .
Calcium scoring has now been regarded as an independent risk factor for future cardiac events.
Generally it's score ranges from 0-400 and above.
0 Is clean arteries , more than 100 the relative risk become s 4%, however in different studies for critical stenosis ie. 70% the score was more than 371(usedascut off),
So with this score no need to visit a cardiologist at present
My recommendation are:
1)if other risk factors like diabetes, hypertension, obesity, smoking are present, primary prevent with statin group of drugs, exercise, diet and other lifestyle modifications are recommended ad the XXXXXXX score is in LAD which is the largest artery in most human hearts.
Any further information and clarification if needed, if would be happy to help. Also a regular follow up with your doctor atleast once a year recommended.
You may send her medication list and upload other relevant investigation, It would help me guide the future course of action.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you for your response. She would like to know how often should she repeat scoring. Once a year? Which statin drug is best for her? She is 5'4" and weighs 140lbs. She is borderline diabetic. She has smoked for 44 years. Smokes one pack a day. She has tried numberless times stopped smoking. But can not. Even though her mother died of lung cancer at the age of 62. But her lung scans been good.Do you recommend fish or krill oil? Or do you think those are not helpful?
Brief Answer:
3 years, every year the radiation exposure is high and not justified in her
Detailed Answer:
Hi again
Considering the info you have given me and the previous calcium score, the time to repeat it would be 3 years, so anytime soon. Also for once if facilities are available CT coronary angiography along with calcium scoring would be preferred because of long standing smoking history
2) rosuvastatin at 5mg at bed time (tab crestor 5mg, is what I will suggest for statin
3) of the two oils, fish oil, rich in omega 3 fatty acid available is in capsule form. 1-2 gm a day would help her decrease the risk of heart problem as well as cancer during to its anti oxidation properties. But these can have side effects.
Now why CT angiography with cac?
If at all any minor plaques are present, I would like to start aspirin 75 mg, for heart along with statin.
Hoping I could help.
Also you may tell me the country and town so I well you the best preparation of omega 3 fatty acid capsule.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
3 years, every year the radiation exposure is high and not justified in her
Detailed Answer:
Hi again
Considering the info you have given me and the previous calcium score, the time to repeat it would be 3 years, so anytime soon. Also for once if facilities are available CT coronary angiography along with calcium scoring would be preferred because of long standing smoking history
2) rosuvastatin at 5mg at bed time (tab crestor 5mg, is what I will suggest for statin
3) of the two oils, fish oil, rich in omega 3 fatty acid available is in capsule form. 1-2 gm a day would help her decrease the risk of heart problem as well as cancer during to its anti oxidation properties. But these can have side effects.
Now why CT angiography with cac?
If at all any minor plaques are present, I would like to start aspirin 75 mg, for heart along with statin.
Hoping I could help.
Also you may tell me the country and town so I well you the best preparation of omega 3 fatty acid capsule.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you. We live in Smyrna, Tennessee USA.
Brief Answer:
Statin,, omega 3 fatty acid and sos bayers aspirin 75 mg
Detailed Answer:
Sir, here you would find many standard cod fish oil capsules, just go through the literature, and as I said we start with atleast 1gm a day and if she tolerates we increase to 2 gms a day.
One I know of is forever, their product name is artic sea, you can Google the nearest distributors and may use ID code 910 0000, for benefits (25% or so) I have for my patients here in XXXXXXX ,
Also I would like to know the follow up investigation you would do.
And lastly if she is willing to give one more try to quiting smoking we can help here with pharmacological and psychological support, coz it's worth quitting for her health
Hoping I could help. Regards Dr Priyank Mody.
For any further assistance you may contact on Http://doctor.healthcaremagic.com/doctors/dr-priyank-mody/70273
Statin,, omega 3 fatty acid and sos bayers aspirin 75 mg
Detailed Answer:
Sir, here you would find many standard cod fish oil capsules, just go through the literature, and as I said we start with atleast 1gm a day and if she tolerates we increase to 2 gms a day.
One I know of is forever, their product name is artic sea, you can Google the nearest distributors and may use ID code 910 0000, for benefits (25% or so) I have for my patients here in XXXXXXX ,
Also I would like to know the follow up investigation you would do.
And lastly if she is willing to give one more try to quiting smoking we can help here with pharmacological and psychological support, coz it's worth quitting for her health
Hoping I could help. Regards Dr Priyank Mody.
For any further assistance you may contact on Http://doctor.healthcaremagic.com/doctors/dr-priyank-mody/70273
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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