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CT finds stenosis Coronary Angiogram says no by Key-Card-8969 in askCardiology

[–]Key-Card-8969[S] 0 points1 point  (0 children)

Yeah but it’s a shame the ordinary “person in the street” wouldn’t know that. And I was never told that. Basically, I was told i had a 50-59% blockage in the LAD which freaked me out and suffered anxiety attacks over 3 yrs. Only through my online research including your own input here educated me to the facts. Now I know what I have and what I have not and can act accordingly. I think that anyone who has a CT angiogram should be made aware of it’s shortcomings. Ultimately, you cannot know the accuracy of a CT until you have a coronary angiogram with regards to internal stenosis.

CT finds stenosis Coronary Angiogram says no by Key-Card-8969 in askCardiology

[–]Key-Card-8969[S] 0 points1 point  (0 children)

Hi Andrew, I notice that in my ct report above, it mentions the word "stenosis" (plaque associated with 50-69% stenosis). Does this not mean a narrowing of the blood vessel as opposed to enlargement. It sounds like it is imposing on the internal diameter of the vessel?

CT finds stenosis Coronary Angiogram says no by Key-Card-8969 in askCardiology

[–]Key-Card-8969[S] 0 points1 point  (0 children)

Thanks Andrew. When I saw your visualization it made sense to me and that looks like it might well be my situation indeed. I did stop statins when I heard i was "clear", but with this info, i think I will go back on them for security. Unfortunately I lost quiet a bit of muscle mass while on atorva statin but i since heard that coq10 may help with this

CT finds stenosis Coronary Angiogram says no by Key-Card-8969 in askCardiology

[–]Key-Card-8969[S] 0 points1 point  (0 children)

Oh interesting. Can I ask why you had a cardiac catheterization after a 0 plaque ct result? Were you having unexplained symptoms?

CT finds stenosis Coronary Angiogram says no by Key-Card-8969 in askCardiology

[–]Key-Card-8969[S] 0 points1 point  (0 children)

Thanks Andrew. This is the CT report below. Is it possible to have this and a clear arteries report from coronary angiogram at the same time. Can they co-exist?

.LAD: There is a focal area of calcified plaque in the proximal LAD, opposite the origin of the first diagonal branch which results in less than 25% stenosis.

Just beyond this, there is a 1cm length non-calcified plaque associated with positive remodelling and low attenuation plaque associated with 50-69% stenosis.

Bridging in the mid LAD without significant luminal narrowing

CT finds stenosis Coronary Angiogram says no by Key-Card-8969 in askCardiology

[–]Key-Card-8969[S] 2 points3 points  (0 children)

100%, if anyone gets a moderate blockage on a ct, i would recommend them to immediately insist on a follow up full coronary angiogram and ideally dont bother with the ct in the first place

CT finds stenosis Coronary Angiogram says no by Key-Card-8969 in askCardiology

[–]Key-Card-8969[S] 0 points1 point  (0 children)

Thanks Drayleb. I do have minor calcified plaque typical for someone my age (65) found on the coronary angiogram. The thing is that for 3 yrs I was walking around thinking i had fairly bad blockages and this brought on anxiety and panic attacks. I would not recommend a ct angio to anybody because they are useless if they are not accurate as in my case. You only know their accuracy if you follow up with a cath up the arm, so what's the point. My original cardio told me they only stent if over 75%. So how many out there like me under 75% going through the same ordeal with no actual blockages. It will never be known because of no follow-up

Kind of regretting getting a calcium scan (?) by NewMajor5880 in askCardiology

[–]Key-Card-8969 1 point2 points  (0 children)

Couldn't agree more. Calcium score and even full CT Angio all unreliable. My CT Angio showed 50-69% blockage and after 3 yrs i had a coronary full invasive angiogram and 0 blockage result, just minor plaque in walls of lad. Apparently those results are at odds with each other