Things We Do for No Reason™: Overlooking incidental coronary artery calcification (iCAC).
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40878018.
- Also identified by DOI 10.1002/jhm.70146.
- No licence information is recorded for this record.
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Abstract
A 58-year-old man with no significant medical history or prescribed medications, including coronary artery disease, presented to the emergency department with hypoxemia due to COVID-19. A non-contrast chest computed tomography (CT) ordered to evaluate for the cause of the patient's hypoxemia revealed mild ground-glass opacities and moderate incidental coronary artery calcium (iCAC), noted in the body of the report. The CT report impression only reads "Peripheral ground glass opacities in keeping with COVID-19 infection." The hospitalist, unsure of what do for moderate iCAC, discharged the patient to follow-up with his primary care provider without addressing it. Eighteen months later, the patient returned to the emergency department with an acute myocardial infarction.
Medical subject headings
- COVID-19
- Coronary Artery Disease
- Vascular Calcification
- Coronary Vessels