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Dr. Aseem Malhotra on Calcium Scoring: A Superior Predictor of Heart Attack Risk Over Cholesterol
Dr. Aseem Malhotra on the Power of Calcium Scoring: A Superior Predictor of Heart Attack Risk Over Cholesterol, Which Is Not a Reliable Indicator
"The calcium score is a really good, useful, validated test that is simple to do. A little bit of radiation through CT scan takes five minutes, noninvasive. And what it does is it tells you the buildup of what we call coronary calcium, nothing to do with diet, by the way, nothing to do with blood calcium."
"The calcium is basically deposited where there is inflammation and where blockages tend to occur. And you can get a score anything from zero, which is completely normal, to well over a thousand, which indicates there is a lot of furring of the arteries. But what's useful about the calcium score, Megan, as well is it actually gives you a very accurate prediction more than cholesterol, blood blood cholesterol we know is essentially useless."
"But more than other factors, it gives you a prediction of your risk of a heart attack or stroke in the next ten years. So I use it quite often in patients that have come, who've been scared by their doctor saying you're gonna die because your cholesterol is high unless you take a statin."
"And we do the calcium score in the Megan. And, of course, a lot of cholesterol, you know, the the so called LDL is you know, 80% of it essentially is genetic. You're born with it. So if they come to me in their middle age, if their LDL cholesterol has been a problem for them, they're gonna have significant heart disease. Do the calcium score, zero."
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