The calcium score: helper or a bad counsellor in diagnostics of chest pain suspected of coronary origin

Authors: J. Šochman 1;  D. Vedlich 2
Authors‘ workplace: Institut klinické a experimentální medicíny, Praha ;  Klinika kardiologie Přednosta: prof. MUDr. Josef Kautzner, CSc. 1;  Základna radiodiagnostiky a intervenční radiologie Přednosta: prof. MUDr. Jan Peregrin, CSc. 2
Published in: Prakt. Lék. 2009; 89(8): 449-452
Category: Diagnostis


The role of the calcium scoring system seems to be well known. It is regarded as an auxiliary method that assists in decision making in coronary angiography indication. In this case report we describe a diagnostic process step by step in a patient with chest pain, presence of some risk factors as well as positive silent ischemia type treadmill test. The calcium score was highly positive, moreover the type of calcium depositions avoided CT coronary angiography. Standard invasive coronary angiography was quite negative. The calcium scoring method in this particular case was not a useful helper due to the specific type of calcium depositions.

Key words:
calcium score, chest pain, coronary angiography.


1. Šochman J, Vedlich D, Peregrin JH. Význam koronárního kalciového skóre ve spektru vyšetřovacích metod. Prakt. Lék, 2006; 86: p. 714-717.

2. Haberl R, Tittus J, Böhme E, et al. Multislice spiral computed tomographic angiography of coronary arteries with suspected coronary artery disease: an effective filter before catheter angiography? Am Heart J, 2005; 149: p.112-1119.

3. Ong TK, Chin SP, Liew CK, et al. Accuracy of 64-row multidetector computed tomography in detecting coronary artery disease in 134 symptomatic patients: influence of calcification. Am Heart J, 2006; 151: p. 1-6.

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