Why Die?

Heart Disease #1 Cancer #2 Respiratory Accidents

Reference: http://www.cdc.gov/nchs/fastats/deaths.htm

Size Matters

Penile artery 1-2 mm Coronary arteries 3-4 mm It’s the same pathologic process

Canary In The Coal Mine 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.

Indications

High blood pressure High cholesterol Smoking Family history of heart attacks Diabetes Obesity Physically inactive

How Much Calcium

Variety of screening tests EKG, Exercise test, stress echo,

imaging, etc Cardiac CT Calcium Score

Cardiac CT Calcium Score Measure calcium in coronary arteries Determines if blockage or narrowing Indication of atherosclerosis (CAD)

Cardiac CT Calcium Score Non-invasive Quick Timed with EKG Requires Breath Hold

CT Scanner

GE Multislice

Results

Quick Look for other concerns Scoring System to help predict

Results

Narrowing in a coronary artery The bright white is calcium Below the calcified area is a Region of narrowing (dark)

CT Calcium Scoring

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

Next Steps

Talk to your doctor Insurance? $100 Self-referral Risk modification Be PROACTIVE See the Optimizing Men’s Sexual

Health Course