Dr. Chauncey W. Crandall, author of Dr. Crandall’s Heart Health Report newsletter, is chief of the Cardiac Transplant Program at the world-renowned Palm Beach Cardiovascular Clinic in Palm Beach Gardens, Fla. He practices interventional, vascular, and transplant cardiology. Dr. Crandall received his post-graduate training at Yale University School of Medicine, where he also completed three years of research in the Cardiovascular Surgery Division. Dr. Crandall regularly lectures nationally and internationally on preventive cardiology, cardiology healthcare of the elderly, healing, interventional cardiology, and heart transplants. Known as the “Christian physician,” Dr. Crandall has been heralded for his values and message of hope to all his heart patients.

Tags: calcium | plaque | angiogram | arteries

Dangers of Hard vs. Soft Plaque

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Tuesday, 31 July 2018 04:46 PM Current | Bio | Archive

One major advantage that coronary CT angiography has over cardiac calcium scoring is that the former can distinguish whether areas of plaque in the coronary arteries are hard or soft.

Not that long ago, any plaque buildup in the coronary arteries was considered dangerous, and it was thought that larger areas of plaque were more risky.

People with heavy plaque buildup were automatically referred for angioplasty or cardiac bypass.

But now we know that more plaque is not necessarily worse. Though it sounds counterintuitive, it is actually the smaller, newer plaque that poses the most heart attack risk — not older, hardened plaque.

A coronary CT angiogram can distinguish between these types of plaque, while the coronary calcium score cannot.

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Dr-Crandall
Not that long ago, any plaque buildup in the coronary arteries was considered dangerous, and it was thought that larger areas of plaque were more risky.
calcium, plaque, angiogram, arteries
119
2018-46-31
Tuesday, 31 July 2018 04:46 PM
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