Coronary artery calcium scores predict heart attack risk: 5 things to know

Coronary artery calcium scores can accurately assess cardiovascular risk for both men and women, according to a study presented at the American Heart Association's annual Scientific Sessions Nov. 18. 

Salt Lake City-based Intermountain Health researchers analyzed EHRs of 19,495 women and 20,523 men who had not experienced a cardiovascular event, but were at a suspected risk of developing heart disease. Coronary artery calcium scores measure the plaque build up inside a patient’s coronary arteries through a PET or CT scan.

Here are five things to know from the study:

  1. Of these patients, 7,967 had a coronary artery calcium score of zero, meaning the patient had no calcified plaque in their coronary arteries.

  2. In a two-year follow-up, a zero coronary artery calcium score predicted a lower risk of coronary death or nonfatal heart attack for both men and women.

  3. Across men and women, a patient with a zero coronary artery calcium score was at a three times lower risk of all-cause death or heart attack.

  4. Coronary artery calcium scores of zero were more frequently observed in women despite being older, at 60.5, compared to 53.8 years for men within the study cohort.

  5. A recent study found that measuring breast arterial calcifications, benign calcium buildups that look like white parallel lines in mammograms, may improve cardiovascular risk in women.

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