Dr RR Baliga's "Got Knowledge Doc" Podkast

"πŸ«€ Cracking the Calcium Code: How CAC Scoring Transforms Cardiovascular Risk Assessment! πŸ”¬πŸ“Š"


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πŸ«€ Cardiac CT Calcium Score: Key Insights πŸ”¬πŸ“Š

πŸ” What is CAC?

βœ… Measures calcified plaque in coronary arteries via cardiac CT πŸ“Έ

βœ… Higher CAC = Higher cardiovascular risk ⚠️

βœ… Agatston Score: 0 (None) β†’ >400 (Severe Atherosclerosis)

πŸ“Š Clinical Impact:

βœ… Strong predictor of ASCVD events (MI, stroke, CHD death) πŸ“‰

βœ… MESA Study: CAC >300 β†’ 10-year CHD risk: 13-25%

βœ… CAC = 0 β†’ Low risk, even for some statin-eligible patients πŸš€

🎯 Guidelines & Utility:

πŸ“’ Used for risk stratification in intermediate-risk patients (7.5%-20% ASCVD risk)

πŸ’Š Guides statin therapy decisions (CAC >100 = Strong statin recommendation)

βš–οΈ Not useful for symptomatic patients needing revascularization

πŸ”¬ Takeaway: CAC scoring enhances risk prediction, supports precision medicine, and helps optimize cardiovascular prevention strategies! πŸš€

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Dr RR Baliga's "Got Knowledge Doc" PodkastBy Dr RR Baliga, MD, MBA

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