Heart & Cardiology/Coronary ct-angiography

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Question
Male, Iranian, aged 52 years
Recently I visited cardiologist for checkup. He did ECG & Stress test and advised to take CT Angio. I took it on 10nd November 2012 and the results are as follows:

Technique:
Obtaining thin - collimation(0.6 - mm) multislice ct (MSCT) scan slices, using 64 - slice MSCT scanner (SOMATOM sensaon 64; Siemens) and intravenous injection of non-ionc contrast medium, Coronary ct - angiography was performed.
On obtained slices, as well as the corresponding MPR, MIP, curved - MIP and VRT views, the findings are as follows:
The total coronary calcium scoring based on Agatston technique is 0.
LMS: Normal.
LAD: Asoft plaque causing minimal to mild stenosis in its ostium.
 - Diagonals: Normal diameter.
LCX and OM: Normal diameter.
RCA: Dominant artery with normal diameter.
 - PDA: Normal diameter.
 - PLV: Normal diameter.

Could you please assess the problem and provide guidance.

Best Regards.

Answer
Hello Saeid,

CT angiography is very good.  Your test shows not immediate threats.  To prevent worsening over the decades to come, you should eat a heart-healthy diet, exercise a lot, consider a baby aspirin a day, keep watch of blood pressure and cholesterol, taking a statin if your cholesterol is high, keep your weight normal, and of course don't smoke.

Please write back if this doesn’t answer all your questions.

David Richardson

Heart & Cardiology

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David Richardson

Expertise

Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.

Experience

Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Organizations
Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Publications
Circulation, American Heart Journal, Hypertension.

Education/Credentials
M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

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