Figure 2.

CCTA scan of a 75-year-old male patient with atypical angina pectoris. Risk factors: smoking and hypertension. Normal LV-function, normal resting electrocardiogram (ECG). Unspecific T-wave changes on exercise ECG. Total Agatston score was 589, which corresponded to the 68. percentile (multi-ethnic study of atherosclerosis) [15]. Sequential scan with diastolic acquisition window was performed at heart rate 68/min. All segments were diagnostic, IQ was 1–2. Despite a high plaque burden, all calcified plaques were assessable and could be rated as <50% diameter stenosis, so that significant CAD could be excluded with high certainty.