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Initial CAC Results

Inner Circle Member Forum >> Coronary Disease & Cholesterol Protocol >> Initial CAC Results

KnitNPurlGirl

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Posted: 9/7/2019 4:15:39 AM
 
Initial CAC performed on 8/13/19
We just received the results yesterday, 9/6
“Post processing included analysis of calcium scoring (Agatston score) using the Siemens workstation.”

Calcium score and cardiac findings.
1-4. Zero across the board.
5. Total coronary calcium score: 0
6. Heart: Not enlarged. There is no pericardial effusion or pericardial thickening.

Non-cardiac findings.
1. The visualized lung fields are clear with no infiltrates, nodules or mass lesions.
2. No enlarged lymph nodes are detected within the visualized mediastinum or hilar regions.
3. The visualized aorta and central pulmonary arteries are average in size.
Impression: Negative calcium score study.

I take it this isn’t too bad for a 71-year-old lady.
______________________

The rest of this post concerns my husband’s results.

1. LM: 0.0
2. LAD: 2019.5
3. LCX: 270.0
4. RCA: 519.1
5. Total coronary calcium score: 2808.6
6. Heart not enlarged. There is no pericardial effusion or pericardial thickening.

Non-cardiac findings.
1. The visualized lung fields are clear with no infiltrates, nodules or mass lesions. There is however severe emphysematous disease through the visualized lungs.
2. No enlarged lymph nodes are detected within the visualized mediastium or hilar regions.
3. The visualized aorta and central pulmonary arteries are average in size.

Impression: 2808.6 total calcium score results. Based upon the Multi-Ethnic Study of Atherosclerosis, the estimated probability of a non-0 Calcium score for a white male of age 77 is 92%. The observed Calcium score is at the 92nd percentile for subjects of the same age, gender, and race who are free of clinical cardiovascular disease and treated diabetes.
________________________

Some background info. My husband, Herb, will be 78 in October. He is 6’0” and weighs 230. About five years ago he was at 255 and lost the 25 pounds fairly quickly upon eliminating wheat. He has belly fat and has been unable to lose any more weight. He was a heavy smoker for 25 years and prior to quitting, 25 years ago, he did not have a weight problem. He doesn’t do the whole WB program, just bits and pieces.

He has had a few isolated Afib episodes over the past 20 years, a couple of them were pretty significant but he converted on his own. He has been on coumadin since the first episode. A few months ago he had what was diagnosed as an atrial flutter episode. This was mild and resolved on its own. Last month he’s had a followup 24-hour monitor (negative results) and an echocardiogram (unofficially negative – cardiologist appt Friday.)

Overall Herb’s always had a strong constitution and appears pretty healthy (although he has been slowing down somewhat.) You wouldn’t guess by looking at him that he’s almost 78. Other than the Afib he hasn’t had overt cardiac symptoms, no chest pain/angina. Prior stress tests & ultrasounds have been uneventful. Lately he’s noticed more shortness of breath, especially upon exertion. Perhaps he’s feeling the effects of the “severe emphysematous disease” noted above, which he didn’t have a clue about until the CAC results! He has become rather sedentary, which also may contribute. Exercise has become difficult due to arthritis, especially of the knees and back, but he’s making an effort to slowly get back into some kind of shape (by gentle walking at this point.)

Meds include crestor 20mg; coumadin; BP meds (well controlled); dyazide on occasion (for ankle swelling.)

Feb. 2019 fasting labs (He has had only the "routine" labs.)
Total choles. 238 mg/dL (ref. range 120-200)
HDL 43 mg/dL (ref. 30-70)
Triglyc. 146mg/dL (ref. 35-199)
VLDL calc. 29.2
LDL calc 165.8
TSH 1.940 ulU/mL (ref. 0.400-4.000)
Free T4 1.00 ng/dL (ref. 0.75-1.90
Glucose 105 mg/dL (ref. 80-120)
HgA1C was not done this time. Prior testing has been in the non pre-diabetic range.
Vit D was not done this time. Prior testing has been WB optimal. (He supplements.)

I’ve just spent the entire evening reading the CAC discussions on the IC forums and going over the two TYP e-books to try to begin getting a handle on all of this. (Thanks for posting the links, Bob.)

We weren’t expecting a perfect score, but 2808.6 just seems over the top and very concerning (to say the least.) Primary care doc is Monday and cardiologist is Friday. I’d appreciate feedback so we know how to discuss these results and what to do next.

Thank you.
- Kate
Tags: calcium score

Bob Niland

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Posted: 9/7/2019 9:29:13 AM
 
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Posted: 9/7/2019 10:25:18 AM
 
All of these program goals are worthwhile, but I think that the coumadin Herb is taking will continue to calcify his arteries regardless.
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KnitNPurlGirl

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Posted: 9/7/2019 7:24:43 PM
 
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Tags: CAC score,afib,coumadin,K-2

KnitNPurlGirl

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Posted: 9/7/2019 9:19:04 PM
Edited: 9/7/2019 9:20:13 PM (1)
 
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JannyLite

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Posted: 9/8/2019 3:29:22 AM
Edited: 9/8/2019 3:30:18 AM (1)
 
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Bob Niland

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Posted: 9/8/2019 9:13:47 AM
Edited: 9/8/2019 2:08:21 PM (1)
 
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KnitNPurlGirl

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Posted: 9/8/2019 1:43:11 PM
 
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Posted: 9/8/2019 1:52:24 PM
 
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Posted: 9/8/2019 1:58:24 PM
 
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KnitNPurlGirl

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Posted: 9/8/2019 2:58:30 PM
Edited: 9/8/2019 9:08:38 PM (1)
 
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Malcolm

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Posted: 9/8/2019 3:58:39 PM
 
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KnitNPurlGirl

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Posted: 9/8/2019 4:42:06 PM
 
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Posted: 9/8/2019 4:44:05 PM
 
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Posted: 9/8/2019 7:44:52 PM
Edited: 9/8/2019 8:02:03 PM (2)
 
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KnitNPurlGirl

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Posted: 9/8/2019 9:05:51 PM
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Tags: CAC,UTI

KnitNPurlGirl

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Posted: 9/8/2019 9:43:18 PM
 
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Posted: 9/8/2019 10:15:38 PM
 
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Tags: CAC

KnitNPurlGirl

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Posted: 10/5/2019 9:54:04 PM
Edited: 10/5/2019 10:00:32 PM (1)
 
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Bob Niland

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Posted: 10/6/2019 7:50:19 AM
 
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KnitNPurlGirl

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Posted: 10/7/2019 3:18:31 PM
 
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KnitNPurlGirl

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Tags: stress test

Bob Niland

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Posted: 10/7/2019 5:18:12 PM
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Malcolm

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Posted: 10/7/2019 5:44:48 PM
 
KnitNPurlGirl:

Did that Nuclear Lexiscan require a treadmill stress test or was it just done passively?


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KnitNPurlGirl

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Posted: 10/7/2019 8:11:20 PM
 
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KnitNPurlGirl

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Posted: 10/7/2019 8:16:25 PM
 
Malcolm:
There was no treadmill involved.  [Too rough on the knees and other joints.]


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KnitNPurlGirl

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Posted: 10/7/2019 9:42:09 PM
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Tags: echocardiogram

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Tags: ,Statins

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Posted: 11/3/2019 6:41:32 PM
 
mdemersseman:

Statins, from what I’ve read, tend to increase heart scan scores.


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Posted: 11/5/2019 9:34:48 AM
 
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Posted: 11/5/2019 11:31:48 PM
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Posted: 11/6/2019 12:27:54 AM
 
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