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