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[ Tuesday, October 16, 2007 05:31 ]

Legacy Journal: Medicine: Cardiology:Imaging: What is your Calcium Score?

Section:

Health and Medicine

Summary:

The current wow factor technology in diagnostic medicine is imaging.  One example is non-invasive, multiple slice, spiral duel source CT the heart. Post imaging processing then “reconstructs” a dynamic multi-dimensional image of the heart, coronary arteries, and their main branches with rapidly improving resolution.  The reconstruction is software based.  One of data set outputs is a Calcium Score.  That score is roughly correlated with gross mortality over time in populations followed for up to ten years.

Main:

The current cost of the test at Strong URMC is $1100. The risk is low in patients who are not sensitive to contrast dye, have good micro-vascular systems, have a normalized cardiac rhythm, and are not at risk for radiation induced cancer. Dye allergy, diabetics, cardiac dysrhythmias and young women are not currently considered to be appropriate candidates for the procedure.  Patients presenting to the ER with symptoms consistent with symptoms consistent the “Deadly Triad” of Rule Out myocardial ischemia, vs dissecting thoracic aneurysm, vs pulmonary embolism are currently excluded.

The use of the procedure in following patients post CABAG, post coronary balloon dilation with or without stent placement is unclear.

* The local Rochester health insurance Big Three requires prior authorization for coverage.

* Currently, the Unit is accepting self-referral, self pay, executive physical patients.

So, is the Calcium Score about to replace the Cholesterol level as a topic of cocktail conversation?  Stay tuned.

More:

Footnotes:


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