Obstructive coronary artery disease with a coronary artery calcium score of 0: A case report | Zendy

German Charles A. | Zendy; Nicolazzi DO Joseph T. | Zendy; Gjini BS Petro | Zendy; Mehta Vivek | Zendy; Stacey Richard Brandon | Zendy

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Obstructive coronary artery disease with a coronary artery calcium score of 0: A case report

Author(s) -

German Charles A.,

Nicolazzi DO Joseph T.,

Gjini BS Petro,

Mehta Vivek,

Stacey Richard Brandon

Publication year - 2020

Publication title -

echocardiography

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.404

H-Index - 62

eISSN - 1540-8175

pISSN - 0742-2822

DOI - 10.1111/echo.14745

Subject(s) - medicine , cardiology , coronary artery disease , percutaneous coronary intervention , coronary angiography , artery , coronary artery calcium , framingham risk score , risk factor , disease , myocardial infarction

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.

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