What factors contribute to a higher risk of heart attacks?

Question

Hi doctor,

I recently underwent a CT scan of my heart to assess for calcium buildup in my arteries. The results indicate a score of 5, with a breakdown noted in the left anterior descending artery and no detectable calcification in that region. Additionally, approximately 2 mm of calcification is present within the proximal aspect of the left circumflex coronary artery, about 0.78 to 1 inch distal to its origin. A calcification measuring 2.8 mm is also present within the proximal aspect of the right coronary artery, just distal to its origin.

I would appreciate your opinion on these findings. Am I at risk of a heart attack? I have no prior history of heart issues, but heart disease is prevalent in my family. Last month, my cholesterol and LDL levels were 280 mg/dL and 235 mg/dL, respectively; they have since improved to 182 mg/dL and 149 mg/dL.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

We monitor many patients, but these scores are merely predictors for screening individuals who are at risk. It is important to note that even individuals with low scores can experience heart attacks. You should discuss your report with your cardiologist instead of trying to interpret it on your own. We have seen many patients with critical blockages in coronary CT (computed tomography) scans who presented with only minimal disease; therefore, this test is not considered the gold standard. Risk factors such as obesity, smoking, and high cholesterol are generally more reliable predictors of heart disease. If you are regularly exercising or brisk walking and do not have any symptoms, your chances of having blockages are reduced.

In angiography, we classify critical blockages as those greater than 70 percent. Your cholesterol levels are high, and it is important to work on lowering them. Ideally, your LDL (low-density lipoprotein) level should be around 100 mg/dL. You might consider discussing an increase in your Atorvastatin dosage with your cardiologist. Maintaining a healthy diet and regular exercise is essential. If you can provide details of your report and medical history, including conditions like diabetes or other comorbidities, as well as your age, I can offer more tailored advice.

I hope this helps.

Thank you.