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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.