Scoring coronary artery calcium (CAC) with cardiac CT

Coronary CT is the only imaging method that can detect subclinical plaque and early vessel calcification before blood flow reduction occurs. In this video taken from our Cardiac CT Essentials course, you will learn how to measure coronary artery calcium so that you can catch cases of patients with calcified plaque (and thus at high risk of future cardiac events) and intervene before they even show any symptoms.
Want to learn how to perform and interpret your own cardiac CT scans? Our Cardiac CT Essentials course was designed and delivered by CT guru, Dr Ronak Rajani. Consultant cardiologist, lecturer at King's College London, and Director of the London Advanced Cardiac CT Academy, Dr Rajani will be your comprehensive guide to the ins and outs of cardiac CT application in a clinical environment. Don't miss out on your opportunity to supercharge your career.
📘 Discover the First Chapter Free: bit.ly/Cardiac...
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[@petercyr3508]

It is important to know your score. My wife was never considered at risk. Had her first test in 2018 age 65. Very high score 529. Surprize! We took action. I'm the one who had diabetes for 20 years managed with a very low carb diet. My score in 2018 was 72. Good for a diabetic. You never know.

[@Hiker_Mike]

I was pre-diabetic with elevated LDL cholesterol. Switched to a strict high-fat/low-carb diet at 59. I had a CAC score of 0 (at 59) before the diet change. I'm now 62 and just had a repeat CAC. I saw one small spot with calcium (RCA), waiting to get the score from the Radiologist. I suspect my HF condition won't safely permit me to continue on a HFLC diet, unfortunately, because all other Lipid panel markers and A1C are excellent. Hopefully my HF situation is unique, I'm still not confident LDL is the root cause for my calcium signature but I have no other obvioius explanation besides my increased age.

[@Sam-fp8zm]

@@Hiker_Mike see zsofia clemens

[@rmlectronicsuk2410]

I find it amazing that the arteries necessary to maintain life (providing the beating heart with its own blood supply) are some of the smallest in the body!

[@jensallis2]

Thanks for the explanation. I just received a CAC score using the Agatston method of 7.5. Is this "7.5" the calcium score itself? (I read online that a score of 100-300 indicate moderate risk, above 300 is higher risk, etc).

[@justmydeals]

I’m a 50-year old, overweight female with mild high blood pressure (130/90). My total cholesterol is very high, 298, with my LDL being 188 of that. I recently had a cardiac CT scan and angiogram and was told my cardiac calcium score is 0. So if high cholesterol can cause blockages, how is it possible that I have absolutely no plaque in my arteries? I just don’t understand the correlation, or why there doesn’t seem to be one.

[@petercyr3508]

Coronary artery diseased is mainly caused by high insulin levels such as in insulin resistance and diabetes. Avoid these with a very low carb diet. I have managed my diabetes for 24 years this way. My score 73 at age 64. Very good for an old diabetic. Your 0 is just normal for age 50. Triglyceride level is more important than cholesterol. High levels indicate insulin resistance/diabetes.

[@Random_Butts]

How are you

[@sheddkkhan6758]

Hi

[@Hiker_Mike]

I was pre-diabetic with elevated LDL cholesterol. Switched to a strict high-fat/low-carb diet at 59. I had a CAC score of 0 (at 59) before the diet change. I'm now 62 and just had a repeat CAC. I saw one small spot with calcium (RCA), waiting to get the score from the Radiologist. I suspect my HF condition won't safely permit me to continue on a HFLC diet, unfortunately, because all other Lipid panel markers and A1C are excellent. Hopefully my HF situation is unique, I'm still not confident LDL is the root cause for my calcium signature but I have no other obvioius explanation besides my increased age. Who knows, maybe the CAC score would be worse at this point if I wasn't on a LCHF diet???

[@iangleeson3338]

At 3:20 it says mean but I think it should be max or peak HU per lesion

[@jwarrengreen]

They're not always the smallest. Especially if they receive plenty of nitric oxide, thru adequate amounts of dietary arginine ( found in beans ). Then they will dilate, to allow much more blood to pass through. And the nitric oxide, will also 'grease the pipes'. This dietary pattern, may not be for everyone, but unlike my father, I plan to die with an absolutely pristine cardiovascular system.

[@2028end]

Warren, what beans, exactly, do you suggest eating? There's so many! What's the best one?

[@euthokia]

Thank you for analyzing, was very helpful. I am 65 years old and my LDL cholesterol is 132 I just did the calcium score and was 18 and my cardiologist wants to put me on Staten. I refuse to take it. The cardiologist told me you can't bring down your score unless you take the medicine. I don't believe him. What are you recommend

[@MaryStreet-uw2fq]

Take your statin Ma'am

[@jbhobbyist9372]

"R93.1- Elevated Coronary Artery Calcium Score" What does this mean?

[@sylviadilorenzo5176]

My ultrasounds reveal mild thickening...should I get further types testing; Can diet revetse? Calcifications is that exacerbated by calcium or saturated fats? 11219

[@Random_Butts]

How are you

[@Random_Butts]

my mother ldl is 189 which ia high so doctor given her statin and told not to eat meat and dairy products

[@Random_Butts]

@@sheddkkhan6758 I know but doctor told her to eat medicine

[@Random_Butts]

@@sheddkkhan6758 what is your problem pls tell

[@hgm8337]

Diet also?

[@Hanover-ek4jy]

It’s the soft plaque that is dangerous!

[@TheKerryzzz]

Mine was 97 out of 1500. Is that bad? Im 57 yr old male.

[@Random_Butts]

How are you

[@Random_Butts]

@@sheddkkhan6758 no

[@Random_Butts]

@@sheddkkhan6758 my mother means why u ask this

[@Random_Butts]

@@sheddkkhan6758 yes but doctor give her medicine she has no heart issue

[@Random_Butts]

@@sheddkkhan6758 yes

[@kenbobca]

Today I got the results of my Calcium Score. It is 1576, DLP is 286.40, CTDI is 17.90. What should I do now?

[@johnrobi0]

Take vitamin K2MK7, beet root for nitric oxide, and D3. I eat a high fat diet with Keto and take these vitamins. My cardiologist flipped when he saw my cholesterol numbers, and insisted I take a statin, and get a coronary ct scan. I told him no way on the statin, and took the test. He was shocked my score was 0. He said I didn't need a statin after all.

[@johnrobi0]

@John Jensen Never took the test before. But check out Ford Brewer MD Reversal of Coronary Calcium Score: Gerry's Story

[@bankerssilvermoon]

My score was 67 in 2019 and now in 2021 it is 49. Dr wanted to put my on a statin, I refused. I too am on somewhat of a keto but not as much fat but it’s all good fat. Funny, they blame red meat for heart disease and I haven’t had any red meat or mammal since 2005.

[@mplsfarmer]

@@johnrobi0 Thanks!

[@harsh-bm4wx]

@@johnrobi0 I am fan of Dr berg as well

[@armadillotoe]

The best way to reverse this in most people it to eat a ketogenic diet along with Vit D 3, and Vit K 2. It will take years but it can be reversed.

[@johnrobi0]

It does work. I also use beet root for nitric oxide. My calcium score was 0.

[@othernewsid2]

@@johnrobi0 how long did it take...

[@johnrobi0]

@@othernewsid2 Not sure, as I never had a CAC before. I'm 60. Be sure to take D3, K2MK7, and Magnesium.

[@othernewsid2]

@@johnrobi0 ok thanks. yes i started taking these three last week.

[@Random_Butts]

How are you

[@bristephens9642]

❤️