A member asked:

Ct angiogram score of 0 in 2012, 2 negative stress echo and 3d echo. dad heart attack at 50 and i have chd papvr. chest pain but negative test. help?

2 doctors weighed in across 2 answers

Risk Factors for CHD: Concern is genuine. Been anxious and stressful won't help. Good you have negative tests. The next important steps then is quit smoking if you do, exercise, at least 30-45 minutes of aerobic walking daily or 4x/week,: diet close to Mediterranean diet, no fatty foods, grilled, or broiled or baked should be the norm, less meat, more fish and chicken, adequate fluid intake. blood pressure control

Answered 1/24/2015

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Dr. John To answered

CTA score?: We don't report a score with a coronary artery CTA. CAC (coronary artery calcium) score is done with CT but without IV contrast. The nonconrast study looks at calcified plaque and is useful for risk stratification but would not detect non calcified plaque as a CTA would. Partial anomalous pulmonary venous return is an extra cardiac left to right shunt and could eventually lead to pulm HTN.

Answered 2/20/2015

3.2k views

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