Peter Attia· MD
it's what's taken as the corollary that if your coronary calcium is negative you're okay and that's the problem for me from my knowledge and interpretation of literature and the pathological studies
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We can't find evidence that holds up here. Proponents are reasoning from mechanism or analogy rather than direct human data, and the most credible skeptics raise objections we can't dismiss.
it's what's taken as the corollary that if your coronary calcium is negative you're okay and that's the problem for me from my knowledge and interpretation of literature and the pathological studies
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which is you take that 45 year old person who you expect their calcium score to be zero it is zero but their apo b is higher than it should be or you would like it to be that calcium score of zero hasn't really added much information to my decision making no because your time horizon is different
the young patient who has a positive calcium score really that's a four alarm fire regardless of the apob right so if you're if you're under 50 and you have a spec of calcium in your coronary arteries even if it's a low enough spec that it would predict a 10-year risk of four percent that's still utterly unacceptable
i wouldn't use a negative coronary calcium to change my clinical decision when i have a high apob or another cause of vascular disease present
the young patient who has a positive calcium score really that's a four alarm fire regardless of the apob right so if you're if you're under 50 and you have a spec of calcium in your coronary arteries even if it's a low enough spec that it would predict a 10-year risk of four percent that's still utterly unacceptable
you take that 45 year old person who you expect their calcium score to be zero it is zero but their apo b is higher than it should be or you would like it to be the calcium score of zero hasn't really added much information to my decision making
where I find the most challenge is in the there's there's the there's the group think that says if a person's calcium score is zero no treatment is needed
I wouldn't use a negative coronary calcium to change my clinical decision when I have a high apob or another cause of vascular disease present