PLEASE HELP.. Extremely frustrated and at wits end!

Question

About 8 months ago I had a stress test done which when evaluated by my doctors naked eye he found nothing but the computer kicked it back and said there may be possible blockage on the top portion of my heart due to fuzziness. Anyhow my cardio wanted to do a cath but I was very scared of having one done so he gave me another option of doing a 64 slice ct scan that would be able to see that portion of my heart (he thought my larger breast with scar tissue from a biopsy could be obstructing that area). I had the ct August 2nd and during the scan the iv disengaged during contrast administration spraying my face with contrast/saline and blood which caused me to jump. They came in, cleaned me up and said they needed to check the results to make sure they didnt need to repeat since I jumped but they came back and said they got what they needed. It took me several weeks to get a call from my cardio's office but when the nurse called she said my heart was fine but I had some nodules that were seen on the lungs that I should be evaluated for. Well after going to a pulmonolgist I got a copy of my report from the ct scan and it says it was of poor quality due to motion.I called the cardiologist to ask about this and now they are saying they never said my heart was fine and I should come back in to discuss a repeat test. Was this test a complete waste? And why on earth would they let me leave if they didnt get what they needed. I lost my father to heart failure so I am absolutely scared to pieces about all of this. I do not know what to make of the rest of the results and need help espicially with Impression #5.. So here is everything it says. SORRY IT IS SO LONG..

AGATSTON SCORE: Total coronary artery calcim score 0. Calculated vascular age 42.
CARDIAC MORPHOLOGY: The RA is normal. The RV is normal. The LA is normal.                                              The LV is normal. Pericardium is normal.
CORONARY CT ANGOGRAM: The overall quality of the CT angiographic examination is poor due to motion after the IV desengaged during infusion of contrast. The coronary artery system is left dominant with normal origins.
The left main coronary artery (LM) not well visulized due to motion.
The proximal left anterior descending artery (LAD) and first diagonal brand (DI) have no stenosis with no cal plaque.
The mid-distal LAD, D2 and D3 branches have no stenosis with no calcified plaque.
The proximal portion of the left circumflex was not well visualized. Otherwise, the left circumflex cononary artery (LCx) and its obtuse marginal branches had no stenosis with no calcified plaque.
The proximal of the RCA including its takeoff were not well visualized although there is likely a high origin of the RCA from tubular aorta. The right coronary (RCA) after its mid segment and acute marginal and RPDA/RPL brances and no stenosis is no calcified plaque.
IPRESSION: 1. This was a limited study due to patient motion secondary to IV disengagement during contrast administration and saline flush. 2. Of the vessels that were visualized there was no obstructive coronary atherosclerosis although proximal coronary arteries were not visable as described above. 3. Normal left ventricular systolic function. 4. No visible absolute coronary calcium score. Low calcium score percentile with appropriate vascular age. This is indicative of low overall relative cardiovascular risk. 5. Possible high origin of the RCA from the tubular aorta.

DenTek · Answer

Go to Cleveland Clinic to get your answers.  They have the best cardiologist in the Country.  Why waste your time not knowing.

braidyn · Answer

hmm.. I was under the impression that this scan I had was the next best thing to a cath. They dont even have that type of machine anywhere in Georgia except Atlanta which I had to travel to to get it done. The reason I fear the cath so bad is because my best friends mother died on the table having one and now that I have read more about anomalies causing more problems possibly even fatal during a cath I am even more scared of one. I have had a Nuclear stress test and electrocardiogram but those images were fuzzy on to and the cardiologist said he thought that was due to my larger breast and also the fact that I have a lot of scar tissue froma  biopsy.
He sent me for this ct scan because he said it could see everything and was often used for women with larger breast. I guess I am just going to see what the cardio has to say about everything... thanks

ed34 · Answer

Hi, I just read your first post, I only replied to your latest one, sorry. I would have to be honest and say that this has been a total disaster from the start. The CT angio you had was in fact useless, and I certainly wouldn't let them second guess the results. I don't trust CT Angiograms anyway, because calcium is not the only constituent of artery disease. This is when it calcified and turns into plaque, but before that it is comprised of lots of different types of cells and fat. So you could have a sticky mess in your arteries, and detecting calcium will see nothing. This has been proved many times with Afro American women, who have a clear scan then have a heart attack. 
I know it's scary with the thought of a cath, but it really can't be beat. It is very low risk and will give the answers you need. For 20 mins, is it not worth it to save months of stress? I've lost count how many caths I've had now, and it came to the point where I was having long conversations with the Cardiologist while he was doing the procedures. We were even discussing options in the last one. They are not painful, I can promise you that, but I know the fear is of the unknown. They can give you some meds to calm you down though. My very first one was terrible. I was so nervous I was shaking on the table, so they had to med me to stop that. I actually fell asleep. 
IF you really can't face a cath, then there are really 2 other options open to you. The first is a nuclear scan. This is a scan done of your heart with dye, while it's stressed. It shows where oxygen is getting to in the heart muscle, and how much. The second is a stress echo scan. A nurse gradually speeds up your heart, while a technician scans it. You are wired up to a monitor so they can see if anything strange is going on and the test is stopped if it looks dangerous. With this test they can see if any part of your heart reacts more slowly than the rest, suggesting a blockage.

braidyn · Answer

Thank you for your replies. I think the high origin of RCA was what had me worried about the test results. Well that and I didnt know how reliable it was. I guess I will wait and see exactly what the cario has to say..

ed34 · Answer

Hi, I think it refers to the position of the origin of your Right Coronary Artery.
If you imagine the Aorta Artery coming out of the top of your Left Ventricle, the first part is called the sinustubular aorta which contains the sinuses. This section is where the Left Main Coronary Artery, and the RCA would be joined to. The Aorta then becomes the Tubular Aorta. So your RCA originates a little bit higher than usual, in the tubular rather than the Sinustubular region. It really has no implications.

braidyn · Answer

The original stress test was given because I was having nonstop left sided pain shoulder/back/neck and chest pain that came and went. I also have numbness/tingling on left side face/arm/hand. Since the first test I developed palpitations and they had me wear a monitor for a month to confirm and evaluate them. I was also sent to an electrophysiologist who said I was having numerous palpitations a day but that they were not a life threatening. I had always heard that PVC's were very bad but he assured me that mine were more of a nuisance then anything. I see an endocronologist for hypothyroidism and pcos so I am monitored for everything in the endo system once every 6 months and I do not have diabetes. At this time I am seeing way to many doctors for my age and we still do not know what is causing my symptoms. I see an  endocrinologist, a pulmonologist, a cardiologist and a neurologist, not to mention my gp. I honestly do not think it is  heart but the reason I worry about it is because of my family history also because my symptoms are those you could relate to the heart. I don't think my cardiologist thinks its my heart either but because of my larger breast the stress test images are not clear and now this scan also was not clear due to movement so I still have not been cleared heartwise. The thing is 3 of these doctors want ct scans with contrast done. One on my brain, one on my lungs and one on my heart and I am worried about having all this contrast injected in my. Can't they do them all at the same time?  Does anyone know what high origin of RCA from tubular aorta means?  Thanks for your replies

Occupant · Answer

You lost me. Why did you have these test done in the first place? Assuming that you had no symptoms - at least you didn't say you did, I would leave well enough alone and go home.

Flycaster305 · Answer

I'm not a health professional, so consider that as you read my post.  I've read a lot of heart procedure reports, and words like normal and no problems would be music to my ears.  The words 'low overall realitive cardiovascular risk' should give you great comfort.  The problems in the test aren't related to cardiac issues, they seem to be related to movement and tissue density that made some of the images hard to read. 
That said, a heart cath is the gold standard, and if you want an absolute diagnosis, you should have it done, in my opinion to give you information and peace of mind.