Multislice CT coronary angiography and coronary artery calcium scoring, correlation with Heart Score

Abstract Background Coronary atherosclerosis is the number one leading cause of death. According to estimates, if all primary cardiovascular diseases (CVDs) had been eradicated, life expectancy could increase by nearly seven years. Long asymptomatic latent phases coronary heart disease allow for early preventive measures. Egypt has a high prevalence premature Artery Disease (CAD). Aim study We aimed evaluate correlation between risk assessed Systematic COronary Risk Evaluation (HeartScore) and Calcium Score (CACS) versus actual extent atherosclerotic CAD affection among sample Egyptian patients Multislice Computed Tomography (MSCT) due chest pain complaints. Methods An observational cross section included hundred studied cases: aged 40 69 years old, which 63% were males, hypertensive, 39% diabetic, 28% smokers. Those presented with symptoms suggestive artery (chest pain). All cases subjected history examination, electrocardiograph (ECG), kidney functions, lipid profile, SCORE calculation, MSCT scan. Results Our found moderately significant positive relationship HeartScore CACS CAD; having higher score carries probability CAD. Having very low good negative test exclusion. Also, there weak HeartScore, CACS, diseased coronaries, i.e. these cannot differentiate single vessel (SVD) from Multivessel (MVD). In addition, both scores not determine Obstructive (OCAD) Nonobstructive (Non-OCAD). Conclusions From clinical point view, our research suggests that have moderate value in predicting