i am hoping someone with experience can shed some light on this report. I've unfortunately become an expert as a Prostate Cancer patient, but Cardiac issues are relatively new to me. I am age 64, have a history of high triglycerides,a though I have had them under control for the last two years. Otherwise, I've never been sick, until January when I was found to have prostate cancer early stage, and had surgery.
After an abnormal EKG reading on an echo stress, (pictures were normal) my PCP who is also a board certified Cardiologist, sent me for a
CT Angiogram which I had done at 12:30pm today. I was amazed at 2 PM to log onto the patient portal of the Radiology Practice, and find the report already posted. Sort of wish I hadn't seen it. What is more amazing is I called my Dr and got a callback from his PA, who said they haven't received the results yet.
What freaked me out was the first part of the report which reported among other less meaningful things, "Atherosclerotic changes in the Thoracic Aorta and Coronary Arteries. Then it showed a Total Calcium Score of 937. I googled that and found that anything above 400 indicates "extensive Coronary Disease"
However, in the second section of the report, it noted the three arteries that showed "calcified and non calcified plaque" and in all three it states "with no discrete luminal stenosis greater than 50%" which I THINK means no blockages over 50%. All other branches (of each artery) appear normal"
At the end of the report it states.....
"Impression: Diffuse Atherosclerotic changes with no hemodynamically significant stenosis identified."
So I'm not sure what to make of it. The Total Calcium Score is scary. And 50% blockages (if that's what it means) is not good, but from what I've read, not life threatening until they get to 75%
But the last line, the impression of no significant stenosis identified, , seems positive,
I had a brief conversation with my Drs PA who hadn't seen the report, she said that the Dr will call me tomorrow after he's looked at it, but from what I've read to her (the above) she thinks that he will just want to monitor it with frequent echo stress tests and manage it with lifestyle changes.
i don't know what more can I change. My cholesterol is 136 with no statins, my triglycerides are 148, my HDL is a wee bit low but my LDL is normal range. I've lost 30 pounds over the last 3 years and walk 3-4 miles a day 3 days a week.
Anyway, if anyone has any insight into what all this means it would be appreciated.