Dr. Anshul Varshney
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
Just now I got my cardiac CT report. I seek opinion of my radiology report before I see my cardiologist in a couple of weeks. Conclusion is that the stress test and echocardiogram results were fine. The CT cardiac report is as follows: Moderate coronary calcification detected with CAC score of 134 which is more than 90th for his age and gender. There is evidence of vessel remodeling with ectasia in all three coronaries without obvious atherosclerotic change in the affected segments. There is a mild to moderate diffuse non-obstructive disease in the LAD and RCA. There is relative non-atherosclerotic luminal narrowing in the distal LAD compared with the ecstatic segment. I can provide the detailed report. Is it something that can be controlled with lifestyle change or medications? I am on cholesterol medication and my cholesterol is under control. I am also pre-diabetic, which is borderline.
Hi,
Welcome to icliniq.com.
We are here to help you. Your report (attachment removed to protect patient identity) is suggestive of coronary artery disease. But, the good news is that this does not require any intervention treatment if there are no symptoms associated like chest pain on exertion. I would recommend you to do regular exercises and avoid alcohol and smoking in case you do. I would also recommend you anti-platelet drugs like Aspirin for blood thinning and prevention of acute cardiac event.
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Internal Medicine
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