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CT angiogram results: how bad is this and what to do next?

Member Forum >> Coronary Disease & Cholesterol Protocol >> CT angiogram results: how bad is this and what to do next?

leo1978

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Posted: 9/17/2020 4:36:46 PM
 
Hello everyone,
I’m new here and realize I have a lot of reading to do. I appreciate the time you take to read my results and make suggestions!

My GP and cardiologist both think my symptoms were caused by anxiety and some muscle or lung pain, probably not a heart problem. Two weeks before going to the ER I took way too much CoQ10 (600mg/d) and Fish Oil (approx. 8g of actual omega3 per day) for several weeks. I think this combination likely triggered a panic attack and several anxiety episodes in the days after, with reducing intensity as soon as I stopped the supplements, and it really felt terrible. I jumped out of bed and felt I couldn’t breathe, that sort of thing. Episodes lasted well over an hour but breathing was OK through the mouth, I felt I couldn’t get enough air through the nose or when lying down.

So I went to the ER, I’m 41, with a sudden but light chest discomfort and shortness of breath. It happened when I got ready to cut some boards in the garage and I put my N95 mask on. By the time I was at the hospital the discomfort mostly subsided but I wanted the CT angiogram anyways just in case. Earlier this year I had an echocardiogram which was all good. The left wall thickness was 11mm I believe and that’s high normal, if I understood and remember correctly.

Now the CT angiogram results are as follows:
Clinical history: triple rule out
Technique: Axial ECG-gated images were obtained through the chest with 100cc Omnipaque iodinated contrast with reformatted images. Muiltiplanar and/or 3D reconstructions were obtained.

.. everything looks OK so I cut that out except the below:
...
Coronary angiography is of good quality. There is a calcium score of 12 with calcifications and left anterior descending artery, there is left sided dominance.
Left anterior descending artery: no findings of occlusion or stenosis or significant plaque. Several calcified eccentric plaques. The major diagonal and septal perforator branches are patent.
Right coronary artery: Limited evaluation of the right coronary artery due to motion and its small size. There is left coronary dominance.
Mild atherosclerotic disease in the left anterior descending artery with several calcific plaques in the mid left anterior descending artery but no significant soft plaque or occlusion or stenosis.

About me:
* 41y, 5’10" 194lbs (180cm, 88kg)
* never took any medications
* take all kinds of supplements
* already eliminated grains a while back
* used to have BP around 135-140/85-90 when measured with arm at heart level at home. This year down to about 95-115/65-75.
* until recently sedentary lifestyle, now somewhat active everyday (renovating house)
* basic blood test OK, only LDL was high at 129, and only on the last test. Earlier tests years ago were always within OK range.

Questions:
* The last time I had symptoms (sudden mild chest pressure, pounding heart beat, light shortness of breath) was while in the CT scanner, immediately after the contrast was injected. Despite not feeling anxious at that time, at least not consciously, I believe the symptoms may be caused by an unconscious anxiety, or do you think it could be something else causing this reaction?
* How "bad" are the CT angiogram results? Since that day a month ago I didn’t have any symptoms.
* Are these plaques dangerous?
* Is medication needed?
* The right artery wasn’t examined (it says ’nondiagnostic evaluation of the right coronary artery secondary to its small size and motion’). Do I need more tests?
* How old do you think are these plaques? I have a feeling they were there for a while since they are calcified....
* What would you suggest should be done next?

Thank you for reading my story and I appreciate your time and comments!
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Malcolm

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Posted: 9/17/2020 10:07:34 PM
 
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Bob Niland

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Posted: 9/18/2020 9:17:46 AM
Edited: 9/18/2020 12:21:34 PM (2)
 
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Boo

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Posted: 9/18/2020 11:26:55 AM
 
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leo1978

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Posted: 9/18/2020 11:33:38 AM
 
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leo1978

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Posted: 9/18/2020 11:41:10 AM
 
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leo1978

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Posted: 9/18/2020 12:04:53 PM
 
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Bob Niland

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Posted: 9/18/2020 1:00:17 PM
 
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leo1978

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Posted: 9/18/2020 1:14:04 PM
 
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Bob Niland

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Posted: 9/18/2020 2:02:36 PM
 
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Posted: 9/18/2020 4:36:35 PM
Edited: 9/18/2020 8:11:01 PM (1)
 
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leo1978

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Posted: 9/18/2020 8:46:19 PM
 
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Posted: 9/18/2020 11:34:23 PM
 
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Venkat S

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Posted: 9/19/2020 1:13:16 PM
 
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Malcolm

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Posted: 9/19/2020 3:34:21 PM
 
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Venkat S

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Posted: 9/19/2020 6:45:53 PM
 
Thanks Malcom. Thats what I suspected based upon my arterial age. So I would need to take another CA score, or maybe not. Not sure.


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leo1978

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Posted: 9/23/2020 1:37:25 PM
 
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Malcolm

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Posted: 9/23/2020 2:28:35 PM
 
leo1978:

Check out the Irish Heart Disease Awareness site.

Here’s the LINK...

https://ihda.ie/


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leo1978

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Posted: 9/23/2020 3:47:53 PM
 
thanks for the link, will check it out
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