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Full body health check up done. CT coronary angiography and Xray of lumbar spine results fine. Any suggestion?

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General & Family Physician
Practicing since : 2004
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I have done a full body health checkup and wanted to take inputs. The health check up summary shows issues in CT Coronary Angiography, Xray of Lumbar spine(AP, LAT) and dexia Bone densiotometry. Rest all reports have come fine.
Posted Thu, 16 Aug 2012 in X-ray, Lab tests and Scans
Answered by Dr. Chakravarthy Mazumdar 3 hours later

If this is a general check up I appreciate your keenness in preventing disease.

All the reports including the CT Coronory Angiography, Xray Of Lumbar Spine (both views) are within normal limits. Though I have not seen the Bone Densitometry the summary report understands the changes noted.

Osteopenia is a general term. You should just continue with your regular exercise or increase it to 4 to 5 times a week. Twice a week muscle strength training can be tried which will prevent further bone loss.

The Xray Lumbar spine says of spondylotic changes which is degeneration that comes up with age. These are expected to be normal.

You can concentrate more on increasing physical activity and consuming XXXXXXX leaves, fruits, nuts and fish for overall good outcomes.

Myocardial bridging is a phenomenon observed in 5% of the population where the muscle grows around the coronary arteries which supply the muscle. Do not worry the arteries which are buried in this muscle carries blood during the diastole and is sufficient to supply them. Unless the artery is blocked for more than 50% it is not a cause for concern. In this report it is observed that there is 3.5 cm bridging. It does not say anything about block. You would experience pain if the block is more than 70%. You can XXXXXXX the doctor who can explain you with a proper picture to say that this is most often benign.

CT coronory Angio is not necessary as a part of general check up.

Let me know if you have any further queries.
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Follow-up: Full body health check up done. CT coronary angiography and Xray of lumbar spine results fine. Any suggestion? 1 hour later

Thanks for the prompt reply. This was a exhaustive preventive Health checkup done post reaching 40 years of age. I have noted down your point regarding twice a week Muscle Training. Thanks.

My CT report does not mention blockages as percentage. How do i check blockage percentage ? It just mentions - "No significant calcified plaque in coronaries XXXXXXX and XXXXXXX otherwise unremarkable coronaries with no critical narrowing"

As compared to 95% people who do not have myocardial bridging, what additional precautions do I need to take ? Will I need to restrict playing certain sports? or change my diet plan ? Also, in my case because of myocardial bridging, do I need to regularly check my blockage status every 6 months or 1 year ?
I have also uploaded the Dexa Bone Densitometry Tests. You can also have a look at the same. The same has been done for AP Spine L1-L4, femur Total Left, femur Total right. As my case has Osteopenia in Femur total right, Are there other portions of body where Bone density should be checked ? Please recommend
Also, will there be any symptoms when blockage increase ?
Answered by Dr. Chakravarthy Mazumdar 12 hours later

However exhaustive the health check up is, the outcomes do not differ with an un necessary investigation like CT Angio which subjects an individual to an un necessary radiation exposure. I do not believe in this test as a part of health check up.

CT angio said that there is no critical narrowing that is sufficient. The gold standard investigation to know the exact percentage of block is by an invasive angiogram.

You do not need to take any extra precautions for this incidental finding. You should be aware that you should continue your sport, quality diet and keep your blood pressure, cholesterol & sugar under control. The general check up is only annual and it does not change the frequency either. You should learn to relax, stress relieving exercises, how to handle work stress.

I am unable to view the pdf file of the Bone densitometry.

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