Help with scan result

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New Member

Date Joined Aug 2015
Total Posts : 1
   Posted 8/29/2015 1:27 PM (GMT -6)   
Hello everyone,

I need help with my CT Angiography report - I have to wait quite some time to get a cardio. appt.
My calcium score was 137. The sentence that concerns me " The LAD in its proximal to mid segment reveals amount of calcified plaque which is eccentric obstructing the lumen to what appears to be at 70%. There is
significant blooming artifact mechanism of stenosis "
Do I need to worry ? Im 63, Dad died at 59 from heart disease. I have high cholesterol 260, current smoker.
I know I need to quit the cigs, pls. don't judge - horribly addicted but this report sure has me thinking seriously. I had problems with all the cholesterol meds that were prescribed in the past so I do not take any. The pc sent me for this test but just said I need to see a cardiologist and it is a long wait and im nervous. Your knowledge is much appreciated

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Date Joined Nov 2012
Total Posts : 6140
   Posted 8/29/2015 4:36 PM (GMT -6)   
I had a CT angiogram that showed 3 blockages, and my calcium score was 937. I had an angiogram after that, which turns out, the result was only 2 blockages. YOUR calcium score shows a high probability of at least moderate plaque buildup....

"Coronary calcium score 101-400: Definite, at least moderate atherosclerotic plaque. Mild coronary artery disease highly likely. Significant narrowings possible"

My understanding is that unless a blockage is more than 75% , they wont bother to stent it. Its not life threatening.

The good news for you, as that its not too late. It is extremely difficult to reverse Coronary Artery Disease. But you can stop the progression by keeping you LDL extremely low with diet and if necessary, statins. No judging, you know you need to stop smoking. It contributes to CAD.

I was freaked out when i got my diagnosis with a score of 937, which indicates extensive CAD. I had 2 stents put in, and was having more symptoms like palpatations, from anxiety. After a number of additional tests my doc assured me i am going to be fine as long as i take care of myself. I've brought my total cholesterol down from 136 (not so bad) to 97, and my LDL (bad cholesterol) down from 75 (not bad for one who DOESNT have CAD) to 34. I am on Crestor, and have completely changed my diet.

You can do this, you just need to take charge. How bad do you want to have a healthy old age? Stop smoking, cut out sugar, trans and saturated fats, eat protein, whole grains, complex carbs (fruits and veg), limit red meat, eat a lot of fish especially salmon, tuna, sardines, herring, but still enjoy a good lean steak once in a while.

You may be told you need an angiogram. Its no big deal, they sedate you, and these days they go through the wrist not the groin. I had an angiogram on a Friday and went to a Billy Joel concert on Saturday. The angiogram will be definitive, more so than the CT Angiogram.

Once you know what you are dealing with, they'll fix it, you'll fix your lifestyle (not saying that judgementally) and you'll move on, if you really want to. Be happy, you have a doc who is cautious and thorough.
Age 64 (in 2014), PSA Feb 2006 - Nov 2014, PSA rose from .7 to 4.3
Nov 2012 - Biopsy - 14 cores all negative for PCa, 1 showed Hi Grade PIN
Nov 2014 BX 3 of 12 cores positive original pathology G6 10%, G6 20%, G8 (3+5), 70%.
G3+5=8 downgraded to 3+3=6 @80% by Dr Epstein, JH
Surgery with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margins, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, 4/15 <.02 7/15 <.02
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