Nuclear stress test results

[RobinDavenport]

I am a 44 year old male in good health with no history of significant disease.  I am 5' 10" tall and weigh 180.  I exercise moderately and eat what I consider to be a heart-healthy diet.  I have not smoked for 2 years but I smoked lightly (1 to 2 cigarettes/daily) for about 15 years.  I have significant family history of heart disease for males on both my father and mother's side.  My father had three heart attacks; my paternal grandfather died of a heart attack at age 72 and his 5 brothers all died of various heart conditions at ages ranging from 40 to 70.  My maternal grandfather died of a massive heart attack at age 69.

Because of my family history (at my wife's urging) I recently underwent an echocardiogram as well as a stress test.  The echo came back with no problems, but the nuclear portion of the stress test indicated a possible blockage in the inferior lateral portion of my heart.  (I have not seen the actual report, so I am just going from notes I took from my telephone conversation with the nurse).  My doctor has recommended a non-invasive CAT angiogram to see if perhaps the stress test is a false positive (which I have scheduled).  If that test confirms the stress results, he recommends an invasive angiogram, I assume to get a more detailed picture of what is going on.

My question(s) is what types of heart condition(s) might my stress results indicate (especially in light of my family history), what are some possible resolutions of these conditions, and does the current course of action make sense?

Thank you.

[tumbleweed1999]

Just an 'info' post here.  
Don't see many "posters" from the NW and then our age to boot. -:)  My husband is an avid fisherman but due to moving around a lot until just this past year hasn't got to do what he likes to do best. -:(   .  Do  you ever fish the Deschutes or Billy Chinook?   If you would care to carry on this conversation other than on the boards, his email is fmms1005 at hotmail dot com.  Just identify yourself so we don't "delete you". -:)

Geri

[Flycaster305]

It makes sense to me, but keep in mind I have zero qualifications, except I've had a number of Angiograms (it appears I'm having another one next week).  Your family history certainly isn't favorable.  EKG's are notoriously ineffective.  Nuclear stress tests have found blockages 100% of the time in my heart, and what you refer to as invasive angiograms led to corrective measures.  Angiograms are the gold standard for diagnosis.  I'd follow the doc's suggestions.