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A coronary CT calcium scan is a computed tomography (CT) scan of the heart for the assessment of severity of coronary artery disease.Specifically, it looks for calcium deposits in atherosclerotic plaques in the coronary arteries that can narrow arteries and increase the risk of heart attack. [1]
By providing a “calcium score” based on the level of calcium buildup in your coronary arteries, a CAC test is used to help determine your risk of heart disease, heart attack, and/or stroke.
[5] The method also uses the coronary artery calcium score (CAC), [5] a measurement of the amount of calcium in the walls of the arteries that supply the heart muscle, using a coronary CT calcium scan of the heart. [6] [7] CAC has been shown to be an independent marker of risk for cardiac events, cardiac mortality, and all-cause mortality. [8]
Calcium deposits are found in the muscular middle layer of the walls of arteries (the tunica media) [1] with no obstruction of the lumen. [2] It is an example of dystrophic calcification. This condition occurs as an age-related degenerative process.
Atherosclerosis [a] is a pattern of the disease arteriosclerosis, [8] characterized by development of abnormalities called lesions in walls of arteries.This is a chronic inflammatory disease involving many different cell types and driven by elevated levels of cholesterol in the blood. [9]
Lesions with a high degree of calcium deposition within the vessel wall, especially if the calcium is circumferential, are considered to be hard to dilate in regards to balloon angioplasty. Complex lesions are one of the key predictors of poor outcome in percutaneous coronary intervention (PCI), [ 31 ] hence calcium lesion modification is ...
Coronary artery disease is characterized by heart problems that result from atherosclerosis. [34] Atherosclerosis is a type of arteriosclerosis which is the "chronic inflammation of the arteries which causes them to harden and accumulate cholesterol plaques (atheromatous plaques) on the artery walls". [35]
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