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Sample Cardiac Calcium Scoring Report

The patient, a 61-year-old female, underwent a coronary calcium scan which revealed a total calcium score of 242.79, above the 75th percentile for her age and gender. This suggests the presence of atherosclerotic plaque and moderate to high risk for heart attack. Her medical history includes hyperlipidemia. Lifestyle changes are recommended, and she may need additional testing given her risk level.

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Zyad Doski
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326 views

Sample Cardiac Calcium Scoring Report

The patient, a 61-year-old female, underwent a coronary calcium scan which revealed a total calcium score of 242.79, above the 75th percentile for her age and gender. This suggests the presence of atherosclerotic plaque and moderate to high risk for heart attack. Her medical history includes hyperlipidemia. Lifestyle changes are recommended, and she may need additional testing given her risk level.

Uploaded by

Zyad Doski
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Coronary Calcium Report

Military Cutoff
1135 Military Cutoff Road Suite 101
Wilmington, NC
Tel:(910) 256-7997

Patient Name: Demo, Patient


Patient Age: 61 Ordering Provider: xxxxx
Patient Gender: F Scan Date: 02/11/2014
Date of Birth: 03/26/1952 MRN: 1111111111
Reported patient background information: The patient did not report any background information.
Reported medical history: Hyperlipidemia on meds.
Reported family history: Father Hx heart disease.
Calcium Calcium Score(Agatston Score): 242.79
Calcium Volume: 182.77
Percentile Ranking: Greater than 75%
Weight: 150 lbs
Height: 5 ft 6 in

Procedure:
High-resolution Computed Tomographic imaging of the chest was performed on 02/11/2014, with particular attention paid to
the coronary arteries. Images from the examination were analyzed for the presence and extent of coronary artery calcification,
using coronary calcium quantification software. The patient tolerated the procedure well and there were no complications.

Findings:

The coronary arteries are segmented into


Proximal, Mid, and Distal sections, which
may be annotated with black markings to
illustrate the approximate location of
any calcified regions detected in the
examination. However please note that
the markings do not imply the presence,
absence, location or extent of arterial
stenosis or any other condition other than
the presence of coronary calcification.

Coronary Artery Score The Agatston Score as reported in this


Left Main (LM) 0.00 table provides a measure for comparison
Left Anterior Descending (LAD) 35.76 with published studies (see "Percentile
Left Circumflex (LCX) 0.00 Ranking" below). The Volume Score can
be useful for comparison with follow-up
Right Coronary Artery (RCA) 207.03
examinations, and is reported here:
Total Agatston Score 242.79 182.77 mm.3

Percentile Ranking The Percentile Ranking compares this score with scores for people in a
greater than 75% group with the same gender and similar age, as reported in the literature.

In a published study, greater than 75%of people A rank below 50% indicates a score better than most in that group.
of the same gender and similar age had the same A rank above 50% indicates a score worse than most in that group.
or lower scores.
(J Hoff et al., American Journal of Cardiology, 2001 87:1335-1339).

Demo Patient — 02/11/2014 — Page 1 of 3


The following graph shows the distribution of total calcium scores for each age group between 40 and 75 by percentiles
(the star indicates the patient’s total calcium score).

The total calcium score (242.79) is above the 90th percentile for women between the ages of 60 and 64.(Exact percentile
calculated to be 95%; this means 94% of the population has lower calcium score and 5% of the population has a higher
calcium score than you.)

Demo Patient — 02/11/2014 — Page 2 of 3


Coronary Calcium Scoring:

It has been established that calcification of the coronary arteries, which can be detected by the scanner used in this
examination, is a marker for the presence of Atherosclerosis (hardening of the arteries) 1. If calcification of a coronary artery
is detected by the scanner, this indicates the presence of atherosclerotic plaque in the blood vessel. Such calcifications often
appear many years before symptomatic heart disease develops, and as such they can represent an early indication of the
presence of developing coronary artery disease.

If calcification is detected in the coronary artery system by the scanner, the Calcium Score 1, is computed for each of the
coronary arteries based upon the size and density of the regions identified to contain calcium. While this Calcium Score does
not correspond directly to narrowing in the artery due to atherosclerosis, it does have correlation with the severity of coronary
atherosclerosis present. The Calcium Score is used to compare the patient's result with results from people of the same gender
and a similar age, from published tables of Calcium Scores2. This process is referred to as "Percentile Ranking". A second
score, the Volume Score3 is also calculated and recorded in this report. The Volume Score is sensitive to the size of the lesion
and helpful when performing comparison with a follow-up examination.

The scores and percentile ranking reported here are intended to enable your physician to better evaluate your risk of
developing symptomatic coronary artery disease. They can also be helpful to track the progression or regression of disease
and effectiveness of treatment administered.

A full evaluation of cardiac risk should include an assessment of all conventional risk factors, and the scores and percentile
rankings reported herein should be evaluated in this context. The following table provides guidelines for the interpretation of
the results4.

Calcium Score Interpretation


No evidence of plaque. The patient’s risk of a heart attack is very low
0
A small amount of plaque is noted. The patient’s risk of a heart attack is low. However it’s
1-10
important they improve diet, get regular exercise and/or quit smoking.
Plaque is present, which means the patient has coronary artery disease, but only mild hardening in
11-100
the coronary arteries. Their risk for a heart attack is moderate.
Plaque is present in a moderate amount. The patient has coronary artery disease and plaque may be
101-400 blocking an artery. The patient’s risk for heart attack is moderate to high. Consider additional
testing.
Plaque is extensive, which means there is more than a 90 percent chance that plaque is blocking one
Over 400
of the patient’s coronary arteries. The patient’s risk is high. Schedule additional testing.

Recommendation
Adoption and maintenance of a healthy lifestyle is recommended for all people. This should include regular, appropriate
exercise and observance of a proper diet, to ensure balanced nutrition and weight control. Tobacco use should be avoided.
Cholesterol has been linked to coronary atherosclerosis, and we strongly encourage adhering to the recommendations of the
National Cholesterol Education Panel (NCEP) in this regard. For primary prevention, these include a target goal for total
cholesterol of less than 200 mg/dl, HDL cholesterol of greater than 40 mg/dl, triglycerides of less than 200 mg/dl, and LDL
cholesterol of less than 100 mg/dl. Secondary prevention involves more stringent goals. However note that these are general
recommendations only, and as with all such matters, the personal physician should be consulted regarding recommendations
appropriate for the individual.
Difficulty in breathing or any kind of chest pain or discomfort may be due to a serious condition.
Should you experience these now or ever, seek medical care promptly.

Delaney Radiologists

Demo Patient — 02/11/2014 — Page 3 of 3

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