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The Total Coronary Artery Agatston Calcium Score 502. The Left
Question: the total coronary artery agatston calcium score 502.
the left anterior agatston score 387
the left main 103
the left circumflex is 4
the right coronary is 8
is it bad? can i not go to doctor and just work on diet.
i am 64 year old ,5'10',210lbs.i dont have any symptoms of feeling bad..
the left anterior agatston score 387
the left main 103
the left circumflex is 4
the right coronary is 8
is it bad? can i not go to doctor and just work on diet.
i am 64 year old ,5'10',210lbs.i dont have any symptoms of feeling bad..
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I understand your concern and would explain that the total artery calcium score is very high, indicative of the presence of coronary artery disease. You should know that a score above 300 is indicative of the presence of coronary artery disease and an increased risk for a heart attack.
Although you do not have any symptoms, this result indicates that further tests are needed in order to investigate for the presence of coronary artery disease.
In this regard the coronary angiogram would be the golden standard test to examine your coronary arteries for possible narrowing. But this is an invasive test.
For this reason, before going for this test, I would recommend performing one of these stress tests:
- a dobutamine stress echo
- a stress cardiac MRI,
in order to investigate for the presence of myocardial ischemia during stress.
If one of these tests results positive of coronary artery disease, the next step to follow would be the coronary angiogramm.
Hope you will find this information helpful!
Wishing all the best,
Dr. Ilir Sharka, Cardiologist
I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I understand your concern and would explain that the total artery calcium score is very high, indicative of the presence of coronary artery disease. You should know that a score above 300 is indicative of the presence of coronary artery disease and an increased risk for a heart attack.
Although you do not have any symptoms, this result indicates that further tests are needed in order to investigate for the presence of coronary artery disease.
In this regard the coronary angiogram would be the golden standard test to examine your coronary arteries for possible narrowing. But this is an invasive test.
For this reason, before going for this test, I would recommend performing one of these stress tests:
- a dobutamine stress echo
- a stress cardiac MRI,
in order to investigate for the presence of myocardial ischemia during stress.
If one of these tests results positive of coronary artery disease, the next step to follow would be the coronary angiogramm.
Hope you will find this information helpful!
Wishing all the best,
Dr. Ilir Sharka, Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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