Journal of clinical lipidology 2020 Jan 02

Coronary artery disease with normal lipids and low coronary artery calcium in two women with high lipoprotein(a).

Abstract

We present 2 patients with elevated levels of lipoprotein (a) and significant coronary artery disease despite having little coronary artery calcification. Clinicians should be aware that patients with elevated lipoprotein (a) may have important coronary artery disease with low coronary artery calcification scores.

Related Questions

How do you decide between ordering coronary calcium scoring versus coronary CTA in asymptomatic patients with low to moderate risk for CAD?

6 Answers

Mednet Member

Cardiology · Hartford Hospital

Arteries try to “heal” atherosclerotic plaques by calcifying them. Consequently, the presence of coronary artery calcium (CAC) indicates that there is at least some coronary atherosclerotic plaque. The amount of coronary calcium is quantified using the “Agatston” CAC score. The higher the score, the...