Should My Father See a Cardiologist for Aortic Calcified Plaque? - Cardiology

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Pulmonary computed tomography showing aortic calcified plaques?


Hello Doctor, my father is currently 60 years old and has mild hypertension, around 130.
In his regular lung CT report without contrast, it mentions "Atherosclerotic change with calcified plaque formation over the aorta." I found online that this translates to calcified plaques due to atherosclerotic changes in the aorta.
During his follow-up with the pulmonologist, the doctor did not mention this finding.
I would like to ask if you recommend scheduling an additional appointment with a cardiologist for a comprehensive evaluation.
Thank you.

ET, 20~29 year old female. Ask Date: 2023/10/05

Dr. Wu Xueming reply Cardiology


Aortic calcification remains a phenomenon associated with chronic diseases and aging.
Please manage your blood pressure well, and if you experience any discomfort related to your heart, seek further evaluation at an outpatient clinic.

Reply Date: 2023/10/05

More Info


Given your father's current health situation, it is indeed advisable for him to see a cardiologist for a comprehensive evaluation regarding the aortic calcified plaque. Atherosclerosis, which is the buildup of fats, cholesterol, and other substances in and on the artery walls, can lead to significant cardiovascular issues, including heart attacks and strokes. The presence of calcified plaques in the aorta indicates that there has been some degree of arterial hardening, which is a common consequence of aging and can be exacerbated by risk factors such as hypertension, diabetes, and high cholesterol.

Your father's mild hypertension, with readings around 130 mmHg, is a concern, especially in the context of atherosclerosis. While this level is not excessively high, it is still important to manage blood pressure effectively to prevent further cardiovascular complications. Uncontrolled hypertension can accelerate the progression of atherosclerosis and increase the risk of cardiovascular events.

Seeing a cardiologist would provide a more specialized assessment of your father's cardiovascular health. A cardiologist can perform additional tests, such as an echocardiogram, stress tests, or even advanced imaging techniques like a coronary CT angiogram, to evaluate the extent of any coronary artery disease and the overall function of the heart. They can also assess the significance of the calcified plaque in the aorta and determine if it poses any immediate risk to your father's health.

In addition to the evaluation, the cardiologist can help develop a comprehensive management plan that may include lifestyle modifications, medication management, and possibly further interventions if necessary. Lifestyle changes such as a heart-healthy diet, regular physical activity, weight management, and smoking cessation (if applicable) are crucial in managing both hypertension and atherosclerosis.
Moreover, it is essential to monitor other cardiovascular risk factors, including cholesterol levels and blood sugar levels, especially since your father has a history of diabetes. Regular follow-ups with both his primary care physician and a cardiologist will ensure that any changes in his condition are promptly addressed.

In summary, given the findings of atherosclerotic changes with calcified plaque formation in the aorta, along with your father's mild hypertension, it is prudent to seek a cardiology consultation. This step will provide a clearer picture of his cardiovascular health and help in formulating an appropriate treatment strategy to mitigate any potential risks associated with his condition.

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