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What Do My CT Angiography Test Report Indicate?

Posted on Thu, 31 Dec 2015

Question: hello sir I'm XXXXXXX 28 years old. i was diagnosed with CT angiogram. found with superficial myocardial bridge in the middle off LAD and normal in calibre. and everything is normal. 2d echo and TMT normal. is it safe sir? please suggest me.

Answered by Dr. Anantharamakrishnan (3 hours later)

Brief Answer:
Mostly safe

Detailed Answer:
Hi friend
Welcome to Health Care Magic

It is present form birth and is an incidental finding here, as in many people
Occasionally, it can be the cause of chest pain… If the pain is typical, your doctor may ask for a TMT (Treadmill Exercise ECG) – ideally TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. If it is suggestive, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography - It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on.
Even then, a trial of medical treatment is first given / if not effective, rarely – only rarely - surgery is done to relieve the compression.
You do not need anything for the present
Keep following up with your doctor

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (12 minutes later)

here is CT angiography report im sending you. TMT and ECG are normal. please suggest me for the next step of treatment.

Answered by Dr. Anantharamakrishnan (4 hours later)

Brief Answer:
Nothing to do

Detailed Answer:
Hi

Nothing further to do
Otherwise normal coronaries
Follow up with your doctor / Repeat TMT after one year -earlier, if you have symptoms

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (18 hours later)

how many persons experience this myocardinal bride from 100 people? is it normal?

Answered by Dr. Anantharamakrishnan (13 minutes later)

Brief Answer:
Fairly but not very common

Detailed Answer:
Hi

It is seen in approximately in about a third of normal adults…
Lately, the incidence is more because of easy detection from imaging techniques….
It is a variation in development and rarely causes symptoms

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (2 hours later)

Hello sir my last query. is superficial myocardial bridging in mid of LAD harmful or harmless? i don't have any symptoms. please explain me sir. I'm very afraid of it. thank you sir.

Answered by Dr. Anantharamakrishnan (2 hours later)

Brief Answer:
Harmless

Detailed Answer:
Hi

Harmless in your case
It is there since your birth / you just came to know of it now.
TMT is normal – it is not compressing or causing symptoms
Ignore it and enjoy life

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar