Hello, my carotid artery shows significant thickening (have diabetes type 1 but not high cholesterol) but there's zero calcification in my coronary arteries according to CT scan. Is this possible and why the discrepancy?
As far as I understand, the Carotid Intima-Media thickness grows by the age and by diabetes. This is not necessary due to atherosclerosis that I think only affects to the intima.
Although it is not fully understood, why this happen, keep in mind that the structure of our arteries are different in different parts of the body and one of the factors that influence the NO production by the intima, which is a major cleaner in our arterial system, is the share effort of the blood against the artery wall, which in turn depends of the diameter of the artery and velocity of the blood.
So it is not understood, but it is clear that the risk for atherosclerosis it is not the same everywhere.
In fact if what you look is at the risk of heart attack due to atherosclerosis in coronaries, you should look at the CT scan as a more reliable indicator
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.