Abstract
Calcium Score and Myocardial Spect: Do We Need Anything Else?
Highlights
Comparative studies of pathological data and Calcium Score (CAC) have shown a close relationship between the total volume of coronary atheroma and CAC
Despite its good predictive value, CAC cannot reliably identify the presence of a significant coronary stenosis on an individual basis, the probability of significant stenosis or ischemia statistically rises with CAC [4]
As outlined in a recent editorial, [5] we believe that the association of CAC and myocardial SPECT is an adequate tool for patients with suspected ischemic heart disease
Summary
Comparative studies of pathological data and CAC have shown a close relationship between the total volume (or mass) of coronary atheroma and CAC. As outlined in a recent editorial, [5] we believe that the association of CAC and myocardial SPECT is an adequate tool for patients with suspected ischemic heart disease. This is probably because assessing the severity of coronary stenosis from images obtained during coronary angiography, invasive or using Computed Tomography (CT), is a difficult challenge: the name of the game is to establish a difference between a 40 and a 60% stenosis.
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