Unusual Symptoms

Lab Results January 9, 2001

Coronary Calcium Screening Report

[Patient] is a 59 year old man with no cardiac symptoms.  He is an ex-smoker and has a history of high (total) cholesterol level.

A high resolution, non-contrast, limited CT imaging of the chest with special emphasis on the heart was done using Electron Beam Computed Tomography {EBCT} on 1/9/01.

Coronary artery calcium scanning and three-dimensional scoring was done according to a standardized protocol.  Below is a table of the scan results and selected representative images(s) from the examination.  Note that the Calcium Volume Score uses Isotropic Interpolation.

The total calcium score is below the 25th percentile for men between the ages of 55 and 60.

Our Cardiology Advisory Panel makes the following suggestions based upon these results:

• The Ultrafast CT [EBT] examination has shown no measurable coronary atherosclerotic plaque.
• This is consistent with a very low current risk for the development of heart disease.  No further cardiac testing is suggested at this juncture, unless as directed by the family or personal physician.
• Despiute the results of the current study, adherence to a healthy lifestyle is always recommended.  This includes regular exercise, a proper diet low in fat and low to moderate carbohydrate intake, and avoidance of tobacco products.
• The family or personal physician may have further recommendations and is in the best position to provide further advice on lifestyle modifications.
• Please not however, that development of any chest or cardiorespiratory symptoms may be serious and deserve clinical evaluation.

Additional comments:

The overall heart size is normal, the pericardium is normal, and the caliber of the aorta is normal.