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Can Someone Please Explain What This Test Means And What

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Posted on Sun, 29 Mar 2020
Question: Can someone please explain what this test means and what I should do.

TOTAL: 135.18 / 128.98
PATIENT AGE: 51
PERCENTILE: 77
Calcium threshold 130 HU. Reference: Hoff J.A. et al., AJC, 2001 (USA, 35246 patients).CARDIAC INCIDENTAL FINDING: Dilated Thoracic Aorta ( 4.12 cm). If indicated, recommend Gated CT angiogram of thoracic aorta for further evaluation.
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Answered by Dr. Ilir Sharka (45 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on - Ask a Doctor - service!

I passed carefully through your medical data and would like to explain that coronary calcium score is a marker of a potential coronary artery disease. The more increased the calcium score, the higher the probability for the presence of coronary artery lesions.

A value of around 130 shows a moderate evidence of coronary artery disease.

These findings need to be correlated to clinical finding (like a suspicious symptomatology of chest pain) and coronary artery risk factors like hypertension, diabetes, dyslipidemia, smoking, heredity for CAD, etc.

If chest pain symptomatology is present, then further clinical evaluation is necessary.

Regarding the findings of dilated thoracic aorta, it is necessary to closely monitor the aorta dimensions by means of periodic imagine tests (like aorta angio CT or MRI).

Actually there is only a mild aorta dilatation and coming to this point it is important to properly control potential risk factors like smoking and hypertension to stop or minimize further progression.

You may upload your cardiac test results here for additional professional opinion.

Hope to have been helpful to you!

Kind regards,

Dr. Ilir Sharka
cardiologist

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9540 Questions

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Can Someone Please Explain What This Test Means And What

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on - Ask a Doctor - service! I passed carefully through your medical data and would like to explain that coronary calcium score is a marker of a potential coronary artery disease. The more increased the calcium score, the higher the probability for the presence of coronary artery lesions. A value of around 130 shows a moderate evidence of coronary artery disease. These findings need to be correlated to clinical finding (like a suspicious symptomatology of chest pain) and coronary artery risk factors like hypertension, diabetes, dyslipidemia, smoking, heredity for CAD, etc. If chest pain symptomatology is present, then further clinical evaluation is necessary. Regarding the findings of dilated thoracic aorta, it is necessary to closely monitor the aorta dimensions by means of periodic imagine tests (like aorta angio CT or MRI). Actually there is only a mild aorta dilatation and coming to this point it is important to properly control potential risk factors like smoking and hypertension to stop or minimize further progression. You may upload your cardiac test results here for additional professional opinion. Hope to have been helpful to you! Kind regards, Dr. Ilir Sharka cardiologist