importance of a coronary CT angiogram

this is a very dense blog post, but it is very interesting and written by a cardiologist who is working with new techniques of heart attack prevention. This is not scare stuff, it is very interesting. Has anyone out there had a CT angiogram or has a loved one?

"The old system of looking for coronary disease with stress testing and coronary angiography misses many patients who are at very high risk for heart attack. The central cause of myocardial infarction is plaque rupture and subsequent blockage of the artery with clot. The patient with fixed stenosis of 70% or greater that is capable of causing symptoms on exertion has had diffuse disease and plaque ruptures usually for decades. The presence of soft plaque and calcification due to healed plaque ruptures can be demonstrated on coronary CT angiography and coronary calcium scoring. Inflammatory markers such as the PLAC2 test and CRP are also useful. These dangerous plaques are quickly stabilized so that they are less likely to rupture by using aggressive treatments for blood pressure, glucose, and cholesterol elevations. The new science of vascular disease demands that we identify these vulnerable patients and treat them aggressively with life style change and medication. "

Link

Thu. Nov 1, 8:39pm

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