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Topics:
Internal Medicine • Nephrology • Cardiology • Preventive Cardiology • End stage kidney disease
Should CT coronary calcium score be avoided in dialysis patients in light of presumed high prevalence of CAC in this population?
Answer from: at Community Practice
The incidence of coronary calcifications in patients on dialysis exceeds 80% and is between 50-80% in patients with CKD. In addition, dialysis and ESRD cause two types of vascular calcification - in the medial and intimal layers, the latter being the one that correlates best with atherosclerotic pla...
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Answer from: at Community Practice
Short answer, CT coronary calcium is likely beneficial only in select situations in dialysis patients. There are a couple of things to consider in answering this question:
Do they have an alternative indication for preventive therapy (statin +/- ASA)?; and
Independent of dialysis, what is the ri...
Answer from: at Community Practice
In select group of patients, CTA coronaries is my practice.