Coronary Artery Calcium (CAC) scoring identified high-grade stenosis requiring stenting in a 72-year-old male with normal lipid parameters, underscoring its utility as a diagnostic tool.
Case Report (n=1)
CAC scoring can identify critical obstructive coronary artery disease in high-risk patients who have normal lipid parameters.
Abstract: - Traditional cardiovascular risk assessment often relies heavily on lipid panels and symptomatic presentation. However, a significant cohort of patients remains at risk despite maintaining "normal" cholesterol levels. This case report discusses a 72-year-old male with a history of myocardial infarction (2019) who presented with a paradoxical profile: stable, normal lipid parameters but a critical Coronary Artery Calcium (CAC) score exceeding 1000. The subsequent discovery of high-grade stenosis and successful intervention via Coronary Angiogram (CAG) and stenting underscores the necessity of non-invasive calcium scoring. This report argues for the broader integration of CAC scoring as a regular diagnostic tool, not only for the elderly but as a proactive screening measure for younger adults to intercept early-stage atherosclerosis.
Murugesan et al. (2026) conducted a case report in Obstructive Coronary Artery Disease (n=1). Coronary Artery Calcium (CAC) scoring was evaluated on Detection of high-grade stenosis. Coronary Artery Calcium (CAC) scoring identified high-grade stenosis requiring stenting in a 72-year-old male with normal lipid parameters, underscoring its utility as a diagnostic tool.