Departments of Internal Medicine Section on Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Department of Internal Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Echocardiography. 2020 Jun;37(6):976-978. doi: 10.1111/echo.14745. Epub 2020 Jun 7.
Coronary artery calcium (CAC) scoring has emerged as a useful tool in identifying patients who may benefit from more aggressive risk factor modification and for prognostication. Although a CAC score of 0 is associated with a very low prevalence of obstructive epicardial coronary artery disease and low event rates, it can also provide a false sense of reassurance. We present a case of a 39-year-old woman with a CAC score of 0 obtained as part of a coronary computerized tomography angiography study that was ultimately found to have significant left anterior descending artery disease requiring percutaneous coronary intervention and a stent.
冠状动脉钙（CAC）评分已成为识别可能受益于更积极的危险因素修正和预后评估的患者的有用工具。尽管 CAC 评分为 0 与阻塞性心外膜冠状动脉疾病的发生率非常低和低事件率相关，但它也可能会产生一种虚假的安全感。我们介绍了一个 39 岁女性的病例，她的 CAC 评分为 0，是在冠状动脉计算机断层扫描血管造影研究中获得的，最终发现她的左前降支有严重的疾病，需要经皮冠状动脉介入治疗和支架植入。
