My CT angiogram shows intermediate OM and atheroma. Kindly help.

Hi,

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Well, keeping in mind strong family history of heart disease any chest pain can mimic a heart pain. But this can or cannot be related to the heart. OM (obtuse marginal artery) is the name of the artery that is a small branch of main arteries that supply blood to heart's own muscles. OM is not one of the major arteries of the heart, those when blocked pose a greater risk than this smaller branch. Atheroma is something that blocks a blood vessel. It can be formed by fatty deposits and associated with other factors too. It blocks the passage of blood through heart vessels. If your doctor (after possibly seeing the angiography reports) stated that you might be suffering from GERD (gastroesophageal reflux disease) and the symptoms you feel may be due to that stomach issue, it means they are assuming not a major blockade in blood supply to heart's own muscles. In this case, I suggest you get another opinion from a cardiologist who can reinforce the same as the previous physician said or maybe he comes to a different conclusion. All it needs is a physical examination and closer look into the laboratory reports and if needed, further investigations. Yes, it can be fixed if we make a final decision on whether you need a cardiologist or a gastroenterologist to manage this issue. If GERD, the gastroenterologist would be the next person to jump in and handle it accordingly. It takes a different direction then. I hope this helps. Thank you.