Submitted by Dr T on August 22, 2013 – 9:34am
Question:
I had a CT cardiac calcium score report indicating I had a right coronary artery score of nearly 18000, while each of my other coronary arteries was 400 or less (left 58, left anterior 400; left circumflex 144). This gives a total Agatston score over 18,000. Is that even possible? I’m wondering if it’s a mistake. My doctor wants to do an angiogram sometime in the near future. But this number seems to be higher than anything reported on the internet. Should I go to the emergency room immediately?
Your calcium score confirms you have advanced coronary artery disease and atherosclerosis, but doesn’t detail whether you have blockages. For that you need either a CTCA or a cardiac catherization depending on your symptoms and the result of a cardiac stress test. There is nothing to indicate a visit to the ER is necessary. Treatment is dependent on what is found, but doesn’t necessarily inlude an immediate intervention like a stent or coronary bypass surgery.
Hope this helps,
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