Please help clarify test results if possible

[bac4107]

I went to my GP due to chest and upper stomach pain and shortness of breath. He ordered and ultrasound of abdomen looking at gallbladder. After listening to my heart and lungs he performed an ekg. the results  of ultra sound showed an Abdominal Aortic Aneursym measuring proximal 2.2 x 2.4, mid 4.3 x 5.0, distal 2.7 x 3.3 cm and nothing else.  The Ekg results were as follows:
Vent Rate 61bpm
P Duration 106ms
QRS Duration 94ms
PR Interval 160ms
QT Interval 480ms
QTc Interval 481ms
QT Dispersion 40ms
P-R-T AXIS 71 69 97 degrees
sinus rhythm
Long QTs interval
Right ventricular hypertrophy
Later T wave changes are nonspecific

Next the GP ordered a CT of abdomen to confirm size of AAA results were: Fuisiform infrarenal abdominal arotic aneurysm with moderately eccentric mural thrombus. Maximal transverse diameter of the aneurysm is 4.8 x 4.2cm. The aneurysm is 9.0 cm in length.

My GP set an appointment with a cardiologist. At first appointment, murmur was identified S1 and S2 are normal. No gallop or rub appreciated. II/VI SEM left sternal border. A cardiac CTA and ultrasound were ordered with the following results:
ECHO:
Left Ventricle in distole   4.4cm
Left ventricle in systole   2.8cm
Intraventricular septum   1.0cm
Left ventricular poster wall 0.8cm
Aortic root 3.5cm
Left atrium 3.7cm

Impression:
1. left vent normal size , thickness, segmental wall motion is normal with estimated ejection fraction of 70%. Inflow velocities into left vent appear normal and are consistent with normal disstolic dysfunction.
2. right vent and atrium appear normal. tri and pul valves appear normal. No tri regur is noted. Peak velocity across the Plum valve is slightly increased at 1.3 m/sec
3. aortic valve appears normal. There is trace mitral regurgitation. Left atrium is normal in size
4. Peak velocity across the aortic valve is normal at 1.44m/sec. The aortic root is normal in size
5. No pericardial effusion. A small anterior pericardial fat pad is present
6. The interatrial septum is not visualized in subcostal views. The inferior vena cava appears normal.

Cardiac CTA results:
Impression:
1. Extensive calcified plaque in LAD with at least moderate stenosis in proximal LAD
2. Long area of calcified plaque in circumflex artery with at least moderate stenosis in proximal circumflex artery
3. Multiple segments of calcified plaque in proximal RCA with areas of mild to moderate stenosis
4. Marked arotic valvular calcification
5. Aortic caldification

Then the cardio ordered a stress test. When I returned to receive the results of the stress test, I was told I needed a left heart cath the cardio made it sound urgent.  The next day  the heart cath was performed. At the end of the procedure, the cardio said that I have no blocks and it's not my heart.  

I'm confused. These are costly procedures, I still fee bad and have no clue as to what these test results mean.

In my medical records under past medical history that was provided to the cardio it indicates AAA, Hypertension, Hyperlipidemia, DJD/arthritis, Pulmonary hypertension PAP 30-40 mmHg and Hypothyroidism.

Can you tell me if you see any problems from the test results provided and guide me as to whether I need to take further action or if everything looks good.  

The Cardio will be monitoring the AAA every six months.

I am female 59 years of age. Father died age 53 valular and cardiac problems, Mother died age 59 heart disease, stroke, renal failure, Sister died age 50 PPH.

I appologize for the long message. And Thank you for any guidance you can provide

[bac4107]

Sounds like my heart is just lazy.  Does this cause problems that I should be aware of?

[ed34]

It's the time it takes for the large chambers of your heart to go through a cycle.

[bac4107]

I really haven't been told anything yet.  What is a QT?

[ed34]

I have just noticed that your QT interval is quite long, is it 480ms. Above 470ms in females is considered abnormal, and borderline is 450-470ms.
Have they said anything about this to you? This is quite confusing because Hypothyroidism can cause a long QT interval, but you are on medication for this?

[bac4107]

Thank you for your reply.  I am on synthroid 125 mcg daily for the Hypothyroidism.  I get blood test to ensure that the dosage keeps the Hypothyroidism under control.  I don't even remember them testing for PAP. What test would I need to check PAP and see if pressure is still high? Since I have no experience in any of this, I am glad that you also feel that the tests gave conflicting results.  Are some of these tests considered somewhat inaccurate, and that is why they showed things that probably really aren't there.  Again thank you for your reply.  I eat see food at least 2 times a week.  I have a sister who also has hypothyroidism, can in run in famlies?

[ed34]

Oh my goodness, you have been through it. The first thing which freaks me out is the way that your tests seem to totally contradict one another. It seems every time you are wired up to a heart monitor, such an EKG or for stress test, they see odd results. However, the good news comes from your Echo and your cath.
Looking at the past history medical notes, I'm wondering if any of them are still a concern. Perhaps you should clear two of these with your Doctor, the Hypothyroidism and the PAP. If your pulmonary artery pressure is still high, then I would seek advice from a pulmonologist. If your hypothyroidism is bad enough, it can show EKG changes which may have alarmed the Doctors. The most common cause of Hypothyroidism is Iodine deficiency. The best natural way to obtain Iodine is eating sea food.