Ct pulmonary angiogram of chest
Common Questions and Answers about Ct pulmonary angiogram of chest
angiogram
I am a 35-year-old female with symptoms that include shortness of breath, chest pain (worse with exertion), and exhaustion for approximately 1 year. I had an echo done which showed a small pericardial effusion, mildly dilated right ventricle, and mild tricuspid and mitral valve regurgitation. I had a cardiac MRI and coronary CT which were normal. I had a pulmonary stress test which showed low Vo2. The cardiologists and pulmonologists I have seen do not know what is wrong with me.
Without a doubt I would go for the non-intervention test with a CT angiogram and calcium score including pulmonary system, heart and descending aorta. You are a good candidate because you have a family history and you don't have CAD confirmed other than an EKG showing depressed ST segment. Your exercise tolerance is very good, but you have chest pain that comes and goes for the last 2-3 years and the pain didn't occur with the completion of the test.
this would explain your symptoms and that condition is sometimes overlooked. Shortness of breath is an indication of pulmonary edema (fluids in the lung tissues). Thre are other causes for edema.
■Lung infections. When pulmonary edema results from lung infections, such as pneumonia, the edema occurs only in the part of your lung that's inflamed.
■Kidney disease. When your kidneys can't remove waste effectively, excess fluid can build up, causing pulmonary edema.....
I have had a echo come back abnormal, echo bubble test them come back abnormal, then my TEE showed no PFO, had a CT angiogram with contrast pulmonary and heart. 1. Left anterior descending CAD-RADS 3 - % Stenosis: 50-69% - Interpretation: Moderate stenosis . I had soft and hard plaque seen in my LAD.
ER sent me to have emergency Cath. Was prepared for stints and more if needed and coronary disease. He goes in and they said it was clear. Is this normal?
I had a 64 slice corornary angiogram ct. It revealed a 100% blockage of my RCA with good collaterols - so my cardio is doing nothing. All the other arteries were clear. If I am not mistaken, the 64 slice ct also shows soft plaque, and a regular angiogram does NOT show that. Most heart attacks are caused by soft plaque. My calcium score in my LAD was 3 - all the rest were 0 - so I guess that gave me some piece of mind. It is much less invasive that a regluar angiogram.
Hello,
A pulmonary embolus presents with the sudden onset of chest pain and shortness of breath. The pain is sharp and worsens when taking a deep breath which is often due to involvement of pleuracausing pleuritic chest pain. You are 23 years of age and not constantly immobile due to your profession, hence chances of this chest pain being due to pulmonary embolism are less. However you can consult a physician and get it examined. Pulmonary angiogram is the best test for pulmonary embolism.
hello,,and thnx you,,,the chest pains feel like a squeezing ,,heaviness in the middle of my chest under my sternam,,i have had tests,,and the cardios say my heart seems ok,,i had an angiogram and my arteries were clear,,,but they thought i had enlarged right atrium,,prinz metal angina,,irregular heart rythyms in both vetriculs an artriums,,but all say it wouldnt cause my breathless ness or chest pain,,i have had my spine worked on,,and i have taken drugs to help stomach acids,,but the chest pain
Oct 2009 Got severe flu type illness, completely bedridden for 7 days. Did not wake to drink, eat, or go to bathroom. Prior to illness I was able to swim and run 2 miles every morning. Since being ill have extreme shortness of breath, o2 at 77% at rest. I have been going to a pulmonary doctor since 6/2010. Lung issues have all been ruled out by CT Scan (3) hospitalization for extreme chest pain 12/2010.
After 3 more months , then I started having constant chest pain and I started having bursts of tachycardia. I wore a 30 day monitor and it showed possibly an SVT. Nobody is paying much attention to my chest pain though, but truthfully the chest pain feels like the crux of my problems..it's bothering me more than anything because it's near constant..
I believe that the amount of radiation exposure is much higher with ct over a standard angiogram. Everyone talks about risks, but if you want clear results, an angiogram is the best option. If your CT shows a blockage, you will have to go for an angiogram anyway. The risks are very small indeed with an angiogram.
eg, if i lay down its real bounding in my head, if i sit up, its hard in my back and stomach, its so hard it actually makes my whole body move with each beat. and i also get chest pressure with the inability to take a deep breath when i climb a flight of stairs. Only going vertical will i experience chest pressure, yet blood presure is generally 125/70
My doc wants me to have a pulmonary ebolism test but somehow i still think its heart related.
Hi, I had a ct angiogram Dec 21 and my calcium score is 694. My cholesterol is 242. My doctor put me on crestor 10 mg per day. I just got the hard copy report today and my dr. is away for the holidays.... what does that score mean? I have chest pain frequently but they thought it was all in my head....
For the past several months, I have been experencing this tight squeezing sensation in my left chest area. It moves from the middle of my chest, to the left of my pec. I do some flying for work, no flights over 5 hours, and have become extremely paranoid about having a PE. I have had a stress test, an echocardiogram, and an stress echo all which come back normal. I had a CTA done on 1/15 that was normal as well.
A week ago, I woke up with chills and a racing heart beat.
You should have an angiogram (cath or ct scan) to rule out any occlusions that obstruct the blood flow to heart cells' usually chest pain (angina) related to the heart occurs with exertion and there is relief with rest.
Chest pain can be due inflammation of the sac surrounding your heart (pericarditis), a short-lived condition often related to a viral infection.
Coronary spasm, also known as Prinzmetal's angina, can cause varying degrees of chest discomfort.
anyone experience chest pains with exertion? and i mean any kind of exertion, yet all heart tests come back negative? ihave acid reflux, chest muscle problems, back muscle knots, anxiety, yet i am scared because everytime i walk fast or climb stairs i get chest pains, ive done 3 stress tests all fine and a host of other tests.
This discussion is related to <a href='/posts/show/255002'>rapid heart rate and chest pain</a>.
Chest pain is in mid section of chest and to the left. He has had chest x-rays, blood work, pulmonary function test, asthma test, CT Scan and all came back normal. He had a stress test with nuclear injection but was unable to do the full test due to pain and shortness of breath. He is scheduled to get a echocardiogram done. He is a smoker, drank, underactive thyroid. In his family history there is hardening of the arteries, stroke, thyroid, high blood pressure.
The RCA is congenitally deformed (anomaly) and has limited space at a particular segment between aorta and pulmonary vessels to pass blood flow to the heart's right side. A deficit of blood flow to that area could cause right-side heart failure causing less than normal blood flow to the lungs for oxygenation and thereby reducing blood/oxygen to the circulation system. If the cardiac output is low, that could cause your symptoms. Worst case scenario if it is heart related.
Hi. You have been extensively worked up for a possible cardiac cause of that chest tightening/ difficulty in breathing, but all the results turned out fine. So I think your doctors should look into other possible causes of the symptoms you're experiencing. First, have your doctors ruled out an underlying lung problem? This is one of the more plausible explanations for your symptoms. A chest x-ray should be done, if it has not been done already.
Tests that could evaluate patients with suspected pulmonary hypertension include chest x-ray and high-resolution CAT scanning, pulmonary function tests, and echocardiogram. Right heart catheterization or angiogra, as previously suggested can be used to confirm this diagnosis.
Take care and do keep us posted.
After recent PFT test, my Pulmonary Dr. wanted a CT thorax chest non contrast scan. The results were no nodules or interstitial thickening or reticulation. No honeycombing or suggestion of fibrosis. Minimal bronchial wall thickening is identified at the lung bases consistent with small airways inflammation.
No consolidations or pleural effusions. No pneumothorax.
Impression: Bronchial wall thickening at the lung bases consistent with small airways inflammation. No evidence of lung fibrosis.
If there are blockages, a stent implant (usually done at time of angiogram) will increase the diameter of the occlusion/occlusions permitting more blood to the deficit area. Sometimes the area of blockage can not be stented because of location, tortuous segment, too long, etc...then a bypass surgical operation may be the only remedy.
Alternatively, some people find relief from chest pain with medication.
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