abnormal ekg and arm pain

[dml66]

I am a 44 yo female non smoker, 5'6, 145 lb who has been experiencing left vice like arm pain more consistently over the last few weeks.   I failed my ekg as well.   My mother was 44 when she had her first heart attack and my brother and sister both have had MI's and surgery in their 40's.   I am scheduled for a calcium scoring test but am not sure how accurate this testing is and am pretty sure it wont show arterial blockages.  I understand there are alot of false positives on ekg's but the arm pain is real and becoming pretty consistent.  Wouldn't a nuclear stress or a catherization be an appropriate next step?   I am glad at least my dr. is taking this seriously.   They never believed my pre menopausal mother with normal cholesterol levels at 120 lbs and she ended up severely damaged as a result.  However, I'm concerned with these extra tests/steps.   I have two young children to worry about.   Thanks.

[Cleveland Clinic]

I would do a simple stress test with nuclear imaging or echocardiography.  It will be more prognositic than the caclium score.  If the stress test is negative and you are still experiencing the symptoms, I would say go for the catheterization.  I personally wouldn't take the CT because of the unnecessary radiation exposure and the fact that the risk of catheterization is so low (very safe procedure).

[dml66]

Thank you for your feedback.   I did undergo the CT yesterday and am awaiting the results.   I also and my C-RP checked prior to the abnormanl stress test and it was extremely high.   I thought for sure I would have had the nuclear imaging  done but can't figure out why my CD went this route.   Maybe my age?