Is this CT Angiogram result normal?

I am a 30 year old man. I am overweight, with a buldging lumbar disc, and gall stones; but otherwise healthy.

I have had an irregular EKG for at least 1 year. I’m sorry that I don’t have the exact irregularity memorized… It has something to do with a q-wave. (A small dip that shouldn’t be there right before the large spike on the EKG… I was told that they’re typically seen in patients age 60+).

So my doc ordered a basic treadmill stress test when he first discovered the irregular EKG. This was about 9 months ago. It was ok.

Then he ordered a nuclear treadmill stress test with SPECT imaging both before and after the stress test. This was about 2 months ago. The image showed a minor hypoperfusion on the basal inferior wall. I was told by several doctors that this is nothing to be concerned about. I was told that this test was ok.

Then he ordered a CT Angiogram. This was yesterday. He says that it’s ok. These are the results.

Done taking volume sections of cardiac region after injecting IV contrast at a flow rate of 5ml/sec using a pressure injector and ECG gating on a 182 slice/sec VCT scanner. MIP, Curved MPR & VRT images of coronary arteries and heart were processed and reviewed.

Calcium Score: 0

RCA: Is normal in course and caliber with no obvious plaque or stenosis. The PDA arises from it and appears normal.

AM: Appears normal

Left main: Normal and trifurcates into LAD, RI, & RCX

LAD: Type I. Normal in course and caliber with no obvious stenosis or plaque.

Diagonals: Two diagonal branches are seen and appear normal.

RI: Small sized RI is seen and appears normal

LCX: Visualized LCX appears normal. PLV arrises from it and appears normal.

Dominant vessel: Co-dominant

Cardiac Function: LV Ejection fraction – 63.3% LV Stroke volume – 101.4ml

Impression: CT coronary angiography reveals co-dominating system with no significant artery disease.

(**there are many pictures of my heart attached to this report along with some films and a disc full of images**)

Please explain these results to me.

With these results can I assume that I do not have a heart condition?

WHY could I have an abnormal EKG, if all of these tests are normal?

What else should I check for?

I have been told that the only test more conclusive than a CT Angiogram is a full-scale heart catheterized angiogram. Is this true?

I never had issues with anxiety before this. I am SOOOOOOOOOO tired of feeling like I’m safe and in the clear, just to have another test ran due to doubts. I really need to find an answer or resolution for my sanity’s sake. Please please please please respond, I need answers.
@ Paul RN

Because the doctor I have available says "I’m just reading the report. Don’t ask me because I have no idea what this means."
@ Paul RN
Because the doctor I have available says "I’m just reading the report. Don’t ask me because I have no idea what this means."

@ All
If you are unable or unwilling to address the test results. Then please give feedback based on the testing history that I have presented or your personal experiences. I am looking for any and all advice at this point. I want to know where to draw the line with testing and what additional testing will effectively RULE OUT a possible cardio issue.
@cheruvima
You understood me correctly. My doctor has no idea what the report means. He ordered my test from an imaging center, who have consultants on staff. These consultants were responsible for the report. My doctor said that he was only looking for "normal" on the "Impression" field. I am currently traveling abroad, thus unable to pick & choose my doctors.

None of my doctors have mentioned a possible infarct in the past. When I had the SPECT imaging done during my nuclear stress test, the notes indicated a minor hypoperfusion defect of the basal inferior wall. The doctors did not review the report with me, they just said that I’m fine.

2 Responses to “Is this CT Angiogram result normal?”

  1. cheruvima Says:

    The operative word I read is "minor." A q wave indicates you did have an infarct, but a very small one, without real significance in your cardiac function. All your vessels are good, according to that report, so a cath would not be necessary. Your ejection fraction is perfect. Your heart is working really well. You are fine shape. At some point in the past, a minor area of tissue did infarct enough to produce that q wave, but again, that has no functional bearing on your cardiac status. Your doctor is right when he says not to worry. If your doctor is telling you, however, that he has no idea what those test results mean, you need to get another doctor. Maybe I misunderstood: maybe you were saying you were the one who didn’t understand. But if I did understand you correctly and your PCP said that to you, you needed to call your cardiologist, the one who wrote the report and ask what it meant. This really is not the best way to get your health care questions answered. You really have nothing to be anxious over, really. You are at the bottom of the question. It should be over now. There is no reason to evaluate further, but for your own peace of mind, why not go talk to a cardiologist in person, so you can gain that sense of your health for yourself.

  2. Paul RN Says:

    This forum is manned by millions of pimply faced lovelorn teenagers. Why in the world aren’t you talking to your cardiologist? I’m an RN and I will not interpret your test for you. That is the exclusive domain of a doctor, preferably a cardiologist.