• question-icon

    What does my CT coronary angiography result report indicate?

Posted on Sat, 15 Jul 2017 in Hypertension and Heart Disease
Question: Recently I got done CT Coronary Angiography. Though multiple deposits on the left side are noticed but they are less than 30%. My 2-D Eco is clean. However, my calcium score is 604. How serious is this and what precautions should I take to avoid any heart related problem in future.
Answered by Dr. Rishu Saxena 1 hour later
Brief Answer:
Go for stress thallium test.

Detailed Answer:
Thanks for query dear.
Deposits less then 70% has no clinical significance.
Calcium deposits in vessel is a normal physiologic process and starts after age of 10 years.
On the other hand-
Calcium Score     Presence of CAD
0      No evidence of CAD
1-10      Minimal evidence of CAD
11-100      Mild evidence of CAD
101-400      Moderate evidence of CAD
Over 400      Extensive evidence of CAD
As per the calcium score probability of cardiac disease is very high.
Ct coronary is a non sensitive over hyped test it has sensitivity less then 60%.

I would suggest you to go for stress thallium test(non invasive and more then 98% sensitive).
Before coming to precautions for future lets first rule out ongoing cardiac disease first.
Hope i was helpful.

Above answer was peer-reviewed by : Dr. Kampana
Follow up: Dr. Rishu Saxena 48 hours later
At the outset I would like to thank you for your valuable advice. Please note that I do not have any symptoms such as pain, breathlessness on walking or climbing. I am also a non smoker. I am attaching all the reports for your kind perusal and final advice. Regards.
Answered by Dr. Rishu Saxena 20 hours later
Brief Answer:
Follow up.

Detailed Answer:
Frankly speaking.
There are two protocols-
1)Indian protocol(cost effective)-As all tests are normal except moderately deranged Ct coronary. You could assume that every thing is normal.Cardiologist would say that ok no further tests required but will nebver give you a written clearance.
2)Standard protocol-All these tests like Ct etc are designed to rule out even the slightest possibility of coronary event. So if there is something wrong with a particular test result we should go for better and specific investigations to rule out CAD(that is what these basic tests are designed for-to rule out possibilities of CAD)
So if 10-15k is not a issue advice is go for stress thallium its anon invasive test almost 98% sensitive.
You are 62 hypertensive dyslipidemic(on anti platelet and statin) a better suggestion is to go for stress thallium./
Above answer was peer-reviewed by : Dr. Remy Koshy
Follow up: Dr. Rishu Saxena 18 minutes later
Thanks for the useful suggestion. Should I go in for stress thallium immediately or I can wait for some time. Meanwhile could you suggest medication for minimising/dissolving calcium deposits so as to cut down calcium score within safe limits. Regards.
Answered by Dr. Rishu Saxena 18 minutes later
Brief Answer:
Follow up answer.

Detailed Answer:
Hey again,
Its not urgent.You could take your time.
As per as clot is concerned you are already on clavilip 75/20 for that so no other medication could be given unless we are sure that there are clots.
However you should start-
Walking for 20 minutes a day with minimum speed of 5 km/hr try to increase your capacity by 10% every week.
Strenous exercise should be done for 45 minutes a day for minimum of 5 days a week. Strenous means you should be sweating vigrously within 10 minutes.
Take saffola or rice XXXXXXX oil in food.No ghee butter cheese etc.
Take 5 gram of ON fiber supplements daily.
Fish oil capsule can be taken once everyday.
Always take imported supplements only.

Above answer was peer-reviewed by : Dr. Kampana
Answered by
Dr. Rishu Saxena


Practicing since :2012

Answered : 696 Questions


The User accepted the expert's answer

Share on

Recent questions on  Stress

doctor1 MD

I have a friend that is veteran from the Persian Gulf War. She has been diagnosed with Hashimoto immune disorder with acute pancreatitis, her...

doctor1 MD

I am a 42 year old female with many symptoms, dark patch on my leg, back of the neck area, joint pain, extreme exhaustion, sleep problems, no sex...

doctor1 MD

Yes. I have a yeast infection (@48 it is caused from stress) first time in years, I used mixonazole tablet for day or night. Have had a reaction. (...

doctor1 MD

Hi, i m have recently started taking eglonyl due to severe stress and lack of sleep. My blood was abnormally high so my doctor also prescribed...

doctor1 MD

Hi Doctor, I want to improve my brain performance, so visited Ayurvedic doctor to take the swarna bhasma,i am little obese and having snoring...

doctor1 MD

hi i m facing sleep disturbance since last 8 years i feel too much pressure over and behing myleft ears may be it leads to stress and breaks my...

doctor1 MD

I have low body temperature, and am concerned that my thyroid may be not working optimally. My TSH is 4.13. If I reduce the stress in my life, will...

Get personalised answers from verified doctor in minutes across 80+ specialties

172 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Rishu Saxena
  • Q - What does the following test report during 18 weeks of pregnancy indicate?

  • Q - What are the repercussions of Gabapentin overdose?

  • Q - What causes aortic root dilatation while having hypertension?

  • Q - What do these following blood reports indicate?

  • Q - Suggest treatment for sharp pain in the sternum area

  • Q - What does this following blood report indicate?

  • Q - What does this thyroid blood test report indicate?

  • Q - What does this echocardiogram report indicate?

  • Q - Suggest treatment for soreness and pain in the knees

  • Q - Suggest treatment for high cholesterol levels and headaches