CT angiogram question

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Over the past few years I have been experiencing episodic chest/left arm pain, tingling and exhaustion with excercise /long working days/ cold weather . With Few trips to A and E . I am afraid to excercise now. I am a healthy weight and am 36yo.

I have had an echocardiogram, excercise stress test and 24hr ecg monitor. Apart from a few flutters those tests came back all clear. I Have also had a CT angiogram which was clear. HOWEVER, they did not test me for a calcium score at the time i did the Ct scan as i am "too young for that on NHS"

My cholesterol levels are fine but my LPa cholesterol was extremly high at 1244mg/

I am still getting the same symptoms and am wondering if it is possible to miss something on the CT SCAN ,because I did not get a calcium score. I cant find an answer to this anywhere as most people seem to get a calcium score with a ct angiogram.

Now everytime I go to doc with symptoms he ignores them because of all the tests ive had,

I have a hiatal hernia and IBS which im hoping may be the real case, but the symptoms are holding me back from excersing again which I used to love?

I live in UK,

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3 Replies

  • Posted

    You should be exercising unless they found something on the ct scan. Calcium score

    for someone your age would only be "part of the puzzle" if some other test had been


    I too, have a hiatal hernia and I doubt that is causing your symptoms. While your Lpa

    was extremely elevated, that measurement is only part of the picture. Here in the U.S

    there are several other markers they look at as well. Good luck going forward.

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  • Posted

    I've had three clear angiograms over the past twenty years and never had a calcium score.

    With Hiatal Hernia hernia you get pressure in your chest and vagus nerve that mimics cardiac symptoms.

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