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 Heart Disease #1
 Cancer #2
 Respiratory
 Accidents
 Reference:
http://www.cdc.gov/nchs/fastats/deaths.htm
 Penile artery 1-2 mm
 Coronary arteries 3-4 mm
 It’s the same pathologic process
 Cat’s out of the bag?
 Up stream - iliac
 Need pressure in the system
 ED can signal impending CAD by 2-5 years
 References:
 http://www.medscape.com/viewarticle/767762_4
 Jackson G, Boon N, Eardley I, Kirby M, Dean J,
Hackett G et al. ED and CHD prediction:
evidence-based guidance and consensus. Int J
Clin Pract 2010; 64: 848–857.
 High blood pressure
 High cholesterol
 Smoking
 Family history of heart attacks
 Diabetes
 Obesity
 Physically inactive
 Variety of screening tests
 EKG, Exercise test, stress echo, imaging, etc
 Cardiac CT Calcium Score
 Measure calcium in coronary arteries
 Determines if blockage or narrowing
 Indication of atherosclerosis (CAD)

 Non-invasive
 Quick
 Timed with EKG
 Requires Breath Hold

GE Multislice
 Quick
 Look for other concerns
 Scoring System to help predict


 Narrowing in a coronary artery
 The bright white is calcium
 Below the calcified area is a
 Region of narrowing (dark)
 0 = No evidence of CAD
 1-10 = Minimal evidence of CAD
 11-100 = Mild evidence of CAD
 101-400 = Moderate evidence of CAD
 >400 = Extensive evidence of CAD
 Talk to your doctor
 Insurance? $100
 Self-referral
 Risk modification
 Be PROACTIVE
 See the Optimizing Men’s Sexual Health
Course
Is Your Heart Worth $100? How Not To Die.

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Is Your Heart Worth $100? How Not To Die.

  • 1.
  • 2.  Heart Disease #1  Cancer #2  Respiratory  Accidents  Reference: http://www.cdc.gov/nchs/fastats/deaths.htm
  • 3.  Penile artery 1-2 mm  Coronary arteries 3-4 mm  It’s the same pathologic process
  • 4.  Cat’s out of the bag?  Up stream - iliac  Need pressure in the system  ED can signal impending CAD by 2-5 years  References:  http://www.medscape.com/viewarticle/767762_4  Jackson G, Boon N, Eardley I, Kirby M, Dean J, Hackett G et al. ED and CHD prediction: evidence-based guidance and consensus. Int J Clin Pract 2010; 64: 848–857.
  • 5.  High blood pressure  High cholesterol  Smoking  Family history of heart attacks  Diabetes  Obesity  Physically inactive
  • 6.  Variety of screening tests  EKG, Exercise test, stress echo, imaging, etc  Cardiac CT Calcium Score
  • 7.  Measure calcium in coronary arteries  Determines if blockage or narrowing  Indication of atherosclerosis (CAD) 
  • 8.  Non-invasive  Quick  Timed with EKG  Requires Breath Hold 
  • 10.  Quick  Look for other concerns  Scoring System to help predict  
  • 11.  Narrowing in a coronary artery  The bright white is calcium  Below the calcified area is a  Region of narrowing (dark)
  • 12.  0 = No evidence of CAD  1-10 = Minimal evidence of CAD  11-100 = Mild evidence of CAD  101-400 = Moderate evidence of CAD  >400 = Extensive evidence of CAD
  • 13.  Talk to your doctor  Insurance? $100  Self-referral  Risk modification  Be PROACTIVE  See the Optimizing Men’s Sexual Health Course