Heart Tests Reports

[rahmad]

Male 37 years old. Results of different heart tests are
> September 2006 during routien examination ECG showed T low/down (arrow downward) III AVF, BP 135/80.
> Octuber 2006 ETT border line for ischaemia
> April 2007 Myocardial perfusion stress images show relatively decreased tracer uptake in the distribution of LAD and RCA with tracer redistribution at rest. Mild to moderate stress induced reversible perfusion anomaly in the distribution of LAD and RCA.
> April 2007 Cholesterol 153, Triglycerides 129, LDL 83, HDL 44.
> April 2007 Coronary Angiogram
   LCA LMS: Short and Normal
          LAD: Normal
          LCx: Normal
   RCA: Dominant and normal.
   LV Cine: Normal sized LV with good LV function.
   Diagnosis: Normal coronary arteries with good LV function.
Some time slight diffused pain on left side of chest (heart site).
My question is that why there are differences in these tests. What could be the problem. Is there any heart problem.

[rahmad]

thanks for your response. i have change my life style. i would be grateful to recieve some material to reduce chance of heart problem.

[Cleveland Clinic]

Coronary angiogram is the gold standard for the diagnosis of coronary artery disease.  The other tests were false positive.  A common finding associated with those very non-specific tests.  Your chest pain doesn't sound to be cardiac in origin and there is nothing about you that makes me suspicious for coronary artery disease as the cause of your atypical chest pain.  The pain you are describing is probably musculoskeletal in origin.  I don't think there is anything wrong with your heart.

[Cleveland Clinic]

The typical risk factors that we focus on include:
cholesterol reduction to LDL around 100, HDL > 45
quiting smoking
controling blood pressure to around 120/80
eating well and exercising 5 times per week to reduce the likelihood of developing diabetes or metabolic syndrome

Non-modifiable risk facts include age (>55), male gender, and family history of early CAD, in males first degree relatives with a heart attack or severe CAD at less than 45 years of age.