Just had 1st CT Angiogram Scan done. Anyone experienced care to comment in simple layman terms?

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Belekas

Belekas

nobody
Hey guys, long time no seen, hope ya'll are doing great.

Just had this shit done yesterday and was expecting results to take time but today I saw the result on the app and the Dr. Consultant Radiologist suggestion at the bottom. Quick as fuck...to offer putting me straight on 3 medications right out the gate without even discussing it with me face-2-face or whatever SMH.

I've read and watched a lot of conflicting materials about this whole issue and def don't want to start taking all this crap at age 42 in great shape for more or less the last 20 years or so. Nutrition, recovery, stress mitigation, training all on point. Will add more cardio but I still do 3-4x week fwiw.

So back to my original question. What do you experienced guys think about my results and the recomended treatment at the bottom of the screenshot?

Appreciate your time.

Best regards,
Bel.

p.s. will upload my latest lipid profile as well if needed but its been done some time ago so not very recent fwiw.
 

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Defy Medical TRT clinic doctor
Seagal said:
www.health.harvard.edu

How serious is a mild narrowing of the carotid artery? - Harvard Health

Mild narrowing of the carotid artery ranges from 15% to 49% blockage. Over time, this can progress and lead to a stroke. Mild narrowing is a sign of early blood vessel disease and preventive measur...
www.health.harvard.edu www.health.harvard.edu

Wonder how these findings relate to your lipids.
Click to expand...
I'm very interested what exactly are these findings and how bad they are. I will find my notes and post my lipids tomorrow as been a long day and getting ready for a cheat dinner which me and my girl enjoy every once in a while. 15 years eating up to 10k kcal/day, cheatmeals daily for years, AAS, recreational drugs, and heavy volatile stress environment def had a toll but considering all that, I'm very interested how much.
 
Can't find the most recent lipid panel and looks like I will need to run a new one fasted. Anyway I was lucky that my test result was shown to a group of cardiologists back in my country thanks to my mom. So they all agree I have mild narrowing/luminal stenosis which can be anywhere 10-50%. Now the interesting thing is that they said once people get this diagnosis or even worse #s then docs to the other test which is more invasive and usually see that its not a problem after all, so as I understood these angiogram tests are not very precise. That being said me being 42, training and eating properly for the last 20 years or so, always in good shape, pretty lean, and the radiologist suggested 3 medications at the bottom of the pic Ive attached, so basically they want me to start on statin, aspirin and betablocker, right out the gate, without any other context. I have done my fair bit of reading over the years and I won't be starting any of it. Cardiologist appoitment in 6 months so will see what he says, but I already know the drill. It's crazy to be fair but it is what it is. I'm happy that I don't have heart disease or any other serious issue with my heart and vessels for the time being. Will try getting even more healthier, doing more cardio, more relaxation, more meditation and more time for myself to be able to smell the roses after 2 decades putting in mad work on my vision which exhausted me to hell. Might even take 6 months holliday for myself just to help healing of all my issues.
 
sammmy said:
Do you have high blood pressure when you measure it at rest at home?
Click to expand...
No I don't. I will get a new BP monitor and see what its like now. Used to be great sub 120/80ish always and low RHR due to being an athlete and doing tons of cardio work in the last 20 consecutive years. I started Lexapro 4-5 weeks ago so very interested to see if that has any effect on BP. When I was on TRT I had issues with BP and thus had to get off as nothing was working the way it should.
 
UPDATE.

Yesterday received a msg from my GP surgery that they sent prescription for statin, betablocker and aspirin for me to start taking asap and all that was done without even talking to me on phone or face-2-face SMH I won't be taking any of that and will take the risk and work on getting healthier one day at a time. I'm just 42 and been putting in cardio/health/muscle work for a long time so with all the data that I have now I won't be taking any of it for the time being. I know how the drill goes but its sad that they work under such guidelines without even talking to the patient about what he wants, about the natural ways to counter this, diet, excersice, meditation, sleep, etc. And to be fair they didn't even bother to explain to me in layman terms what the test results showed and what they ment. Nothing. They just want to start 3 medications at once like I'm fucking dying or something when I have been one of the most pro-health persons I ever met in my whole life. SMFH, how messed up all this medical system is, absolutely a disgrace. I will run some proper lipid panels when time is right to check the more complex markers which from all Ive read/watched are better markers linked to CVD and overall artery health. I'll start running Nattokinase, maybe some Citrus Bergamot and some Berberine from time to time even though my glucose is/was perfect all the time and even too low time to time. I also believe insulin resistance is the main cause of everything so that has to be number one priority and then lipids. Listening to Anabolic Doc it seems that the best idea would be, according to him and the newest data he cites, just jump on them many pharmaceauticals for prevention and hope to live 120 years. But somehow I'm very very skeptical about taking tons of drugs so I will stay on the natural route for as long as possible.

Any ideas or comments always welcome.
 
I'm sorry if you've already mentioned any of the following, but K2, potassium, Vitamin C and low dose aspirin seem like good additions. Moderating stress is also key. Something to raise or prolong nitric oxide is likely a good idea. Sunshine when you can get it has many benefits. If y9our lp(a) is high niacin is worth considering in my opinion.
 
Guided_by_Voices said:
I'm sorry if you've already mentioned any of the following, but K2, potassium, Vitamin C and low dose aspirin seem like good additions. Moderating stress is also key. Something to raise or prolong nitric oxide is likely a good idea. Sunshine when you can get it has many benefits. If y9our lp(a) is high niacin is worth considering in my opinion.
Click to expand...
Absolutely agree with all your points and to be fair I have been just talking with my mom regarding testing all family lp(a)s next time they do a lipid panel. Also been thinking about niacin as well if lp(a) is high. What a coincidence hehe or as they say "great minds think alike" ;) I've started supplementing K2 MK7 500mcg a week or so ago and will do another week. Interesting what dose is good to run daily? I also take 5000iu D3 together as well. Will try Vitamin C as well but since I have issues with Iron loading I've stayed away from it completely. I also started taking some raw garlic and had some unused whole flaxseed so taking a bit of them soaked in water overnight. For prolonging nitric oxide you mean something like beetroot or more a complex of things? Also I def need way more potassium so will try to supplement as have plenty of Potassium Chloride and will buy some Potassium Gluconate as supposedly its more gentle on the gut.
 
Here is how I use ChatGPT to interpret medical tests.




Below is a plain-language explanation of what the report is saying, section by section. Please remember that this interpretation is for general educational purposes and does not replace individualized medical advice from your own doctor.

1.​

  • LMS (Left Main Stem): This is the main vessel branching off from the aorta to supply blood to the left side of the heart. The report says your LMS is normal with no significant narrowing or blockage.
  • LCX (Left Circumflex) and OM (Obtuse Marginal) branches: These vessels supply blood to a portion of the left side of the heart (the side and back). They appear normal on your scan.
  • RCA (Right Coronary Artery): This artery typically supplies blood to the right side of the heart and the back part of the left ventricle. The report indicates the RCA is dominant (which is common) and normal, with its branches (PDA and PLV) also described as normal.

2.​

  • LAD (Left Anterior Descending) and Diagonal Branch:
    • The LAD supplies blood to the front part of the heart and is one of the most important arteries. The scan found a “mixed morphology plaque” at the origin of a diagonal branch (D1).
    • This plaque is causing mild luminal stenosis—that is, a mild narrowing of the artery’s inner channel. The fact that it's called “mixed morphology” means the plaque likely contains different tissue types (for example, areas of calcium along with softer fatty material).
    • Beyond that small area of mild narrowing, the rest of the LAD and its diagonal branches were reported as normal.

3.​

  • No Aortic or Heart Valve Calcification: This means your main vessel leaving the heart (the aorta) and the valves inside your heart do not show significant calcium buildup.
  • Normal Aortic Root, LA (Left Atrial) Appendage: These structures appear typical in size and shape.
  • No Pericardial Effusion: There’s no excess fluid in the sac surrounding your heart.

4.​

  • “No anatomically obstructive coronary disease demonstrated”: This means you do not have a severe blockage (nothing at or above the levels usually considered dangerous, such as 70% narrowing or more).
  • “Mild luminal stenosis” in one spot in the LAD: This is a relatively small narrowing. Your doctor may still consider it important to manage risk factors to prevent progression.

5.​

  • Aspirin (low dose): Helps reduce the likelihood of blood clots forming on any plaque.
  • Atorvastatin (a cholesterol-lowering medication): Helps stabilize and possibly reduce plaque in the arteries over time, plus lowers LDL (“bad cholesterol”).
  • Bisoprolol (a beta-blocker): Helps manage blood pressure, heart rate, and overall cardiac workload, which can protect the heart and slow plaque progression.

6.​

  1. Your main arteries look good overall: There is no major blockage that severely compromises blood flow.
  2. You have one area of mild narrowing in an important artery (the LAD), but it’s not severe.
  3. Preventive measures—like medications to lower cholesterol, reduce clot formation, and control blood pressure/heart rate—are recommended to maintain heart health, keep plaque in check, and lower future cardiovascular risk.
  4. Lifestyle habits—such as maintaining a healthy diet, exercising regularly, and avoiding smoking—play a big role in preventing progression of any plaque.

7.​

  • Follow-Up with Your Doctor: They may want periodic checkups or further tests (such as stress tests or follow-up imaging) to monitor that mild plaque.
  • Manage Risk Factors: Keep an eye on cholesterol levels, blood pressure, blood sugar (if relevant), and maintain healthy habits like balanced nutrition and regular physical activity.
  • Take Medications as Prescribed: These help prevent further buildup and reduce the risk of heart events.
Bottom Line: Your heart arteries are in generally good shape, with only a mild narrowing detected. By sticking to the recommended medications and healthy lifestyle measures, you’ll give yourself the best chance of keeping your arteries clear and preventing any future heart issues. Always discuss specific concerns and treatment questions with your cardiologist or primary care physician.
 
Belekas said:
Absolutely agree with all your points and to be fair I have been just talking with my mom regarding testing all family lp(a)s next time they do a lipid panel. Also been thinking about niacin as well if lp(a) is high. What a coincidence hehe or as they say "great minds think alike" ;) I've started supplementing K2 MK7 500mcg a week or so ago and will do another week. Interesting what dose is good to run daily? I also take 5000iu D3 together as well. Will try Vitamin C as well but since I have issues with Iron loading I've stayed away from it completely. I also started taking some raw garlic and had some unused whole flaxseed so taking a bit of them soaked in water overnight. For prolonging nitric oxide you mean something like beetroot or more a complex of things? Also I def need way more potassium so will try to supplement as have plenty of Potassium Chloride and will buy some Potassium Gluconate as supposedly its more gentle on the gut.
Click to expand...
It sounds like you are on a good path. The issue that jumps out at me is that Vitamin C is really important on many levels and likely at higher doses that most people get. If you take it away from high iron meals I wouldn't expect it to increase iron absorption since it is (as long as it's not extended release) out of the system very quickly. Having a margin of safety with Vitamin C seems like one of the biggest factors in reducing CVD risk and it is unlikely one would get enough from food, especially if anything you're doing is creating oxidative stress. If you are fighting infection the use for C goes even higher (if I'm fighting an infection I take 10 grams or higher per day, and all the sensible covid protocols used much higher IV doses than that) to amounts you could never come close to from food alone. Dr. Gundry pointed out in his latest book that some of the longest living people in the world (in Sardinia IIRC) are heavy smokers but they get a lot of vitamin C from their diet, which suggests that part of the mechanism behind the damage from smoking is lack of vitamin C. So bottom line, I would find another way to deal with iron such as timing your c doses away from meals and blood donation before I would minimize C. I take 1-2 grams per day. Lack of c alone is a risk factor for CVD, partially due to its role in blood vessel integrity I believe.

Your K dose sounds like what I remember a good dose to be and is similar to what I take, although I have heard arguments for both Mk-7 and Mk-4, so I take some of each.

I take an oral nitric oxide supplement (from n101.com) but yes, I think anything that promotes it is good. My understanding is that vitamin D should be taken with (at least) vitamins A, k2 and E together.
 
Guided_by_Voices said:
It sounds like you are on a good path. The issue that jumps out at me is that Vitamin C is really important on many levels and likely at higher doses that most people get. If you take it away from high iron meals I wouldn't expect it to increase iron absorption since it is (as long as it's not extended release) out of the system very quickly. Having a margin of safety with Vitamin C seems like one of the biggest factors in reducing CVD risk and it is unlikely one would get enough from food, especially if anything you're doing is creating oxidative stress. If you are fighting infection the use for C goes even higher (if I'm fighting an infection I take 10 grams or higher per day, and all the sensible covid protocols used much higher IV doses than that) to amounts you could never come close to from food alone. Dr. Gundry pointed out in his latest book that some of the longest living people in the world (in Sardinia IIRC) are heavy smokers but they get a lot of vitamin C from their diet, which suggests that part of the mechanism behind the damage from smoking is lack of vitamin C. So bottom line, I would find another way to deal with iron such as timing your c doses away from meals and blood donation before I would minimize C. I take 1-2 grams per day. Lack of c alone is a risk factor for CVD, partially due to its role in blood vessel integrity I believe.

Your K dose sounds like what I remember a good dose to be and is similar to what I take, although I have heard arguments for both Mk-7 and Mk-4, so I take some of each.

I take an oral nitric oxide supplement (from n101.com) but yes, I think anything that promotes it is good. My understanding is that vitamin D should be taken with (at least) vitamins A, k2 and E together.
Click to expand...
Agree on all counts as well. I was trying to play around with times taking Vitamin C not around my animal protein meals but dropped the idea as I had very sensitive gut at that time being and never felt good taking it. Tried a few forms but was same. Now I think I'm healed some so will be interesting to try again and see what happens. I also have some natural Vitamin C like CamuCamu which some of really smart people recommend vs simple vit C. So might start taking that and also order some more as will be doing supplement buy. Will also grab nattokinase and maybe some others Ive mentioned in the above post. Yup, I also heard about both MK-7 and MK-4 so will hunt for another form as well. Taking D as well together with my K2 and fatty food. Probably should add Magnesium as well. Will look into Vit A and E to run together. I might get a proper multispectrum Vitamin E as well and run together as was thinking about this one a long time but somehow never bought as wanted a proper multispectrum version not an isolated E like they have in town shops. Appreciate your comments and recommendations. Thank you.
 
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Nelson Vergel said:
Here is how I use ChatGPT to interpret medical tests.


View attachment 50315

Below is a plain-language explanation of what the report is saying, section by section. Please remember that this interpretation is for general educational purposes and does not replace individualized medical advice from your own doctor.

1.​

  • LMS (Left Main Stem): This is the main vessel branching off from the aorta to supply blood to the left side of the heart. The report says your LMS is normal with no significant narrowing or blockage.
  • LCX (Left Circumflex) and OM (Obtuse Marginal) branches: These vessels supply blood to a portion of the left side of the heart (the side and back). They appear normal on your scan.
  • RCA (Right Coronary Artery): This artery typically supplies blood to the right side of the heart and the back part of the left ventricle. The report indicates the RCA is dominant (which is common) and normal, with its branches (PDA and PLV) also described as normal.

2.​

  • LAD (Left Anterior Descending) and Diagonal Branch:
    • The LAD supplies blood to the front part of the heart and is one of the most important arteries. The scan found a “mixed morphology plaque” at the origin of a diagonal branch (D1).
    • This plaque is causing mild luminal stenosis—that is, a mild narrowing of the artery’s inner channel. The fact that it's called “mixed morphology” means the plaque likely contains different tissue types (for example, areas of calcium along with softer fatty material).
    • Beyond that small area of mild narrowing, the rest of the LAD and its diagonal branches were reported as normal.

3.​

  • No Aortic or Heart Valve Calcification: This means your main vessel leaving the heart (the aorta) and the valves inside your heart do not show significant calcium buildup.
  • Normal Aortic Root, LA (Left Atrial) Appendage: These structures appear typical in size and shape.
  • No Pericardial Effusion: There’s no excess fluid in the sac surrounding your heart.

4.​

  • “No anatomically obstructive coronary disease demonstrated”: This means you do not have a severe blockage (nothing at or above the levels usually considered dangerous, such as 70% narrowing or more).
  • “Mild luminal stenosis” in one spot in the LAD: This is a relatively small narrowing. Your doctor may still consider it important to manage risk factors to prevent progression.

5.​

  • Aspirin (low dose): Helps reduce the likelihood of blood clots forming on any plaque.
  • Atorvastatin (a cholesterol-lowering medication): Helps stabilize and possibly reduce plaque in the arteries over time, plus lowers LDL (“bad cholesterol”).
  • Bisoprolol (a beta-blocker): Helps manage blood pressure, heart rate, and overall cardiac workload, which can protect the heart and slow plaque progression.

6.​

  1. Your main arteries look good overall: There is no major blockage that severely compromises blood flow.
  2. You have one area of mild narrowing in an important artery (the LAD), but it’s not severe.
  3. Preventive measures—like medications to lower cholesterol, reduce clot formation, and control blood pressure/heart rate—are recommended to maintain heart health, keep plaque in check, and lower future cardiovascular risk.
  4. Lifestyle habits—such as maintaining a healthy diet, exercising regularly, and avoiding smoking—play a big role in preventing progression of any plaque.

7.​

  • Follow-Up with Your Doctor: They may want periodic checkups or further tests (such as stress tests or follow-up imaging) to monitor that mild plaque.
  • Manage Risk Factors: Keep an eye on cholesterol levels, blood pressure, blood sugar (if relevant), and maintain healthy habits like balanced nutrition and regular physical activity.
  • Take Medications as Prescribed: These help prevent further buildup and reduce the risk of heart events.
Bottom Line: Your heart arteries are in generally good shape, with only a mild narrowing detected. By sticking to the recommended medications and healthy lifestyle measures, you’ll give yourself the best chance of keeping your arteries clear and preventing any future heart issues. Always discuss specific concerns and treatment questions with your cardiologist or primary care physician.
Click to expand...
Thanks Nelson for taking time and walking me step by step on how to do it. Not sure why I havent thought about that myself as Ive been using ChatGPT for different reasons myself. Smh. Funny how the brain works sometimes. So 9am gym work fasted in a few minutes and will work over it when I get back with all my blood tests and data as well. So apprecaite it. Cheers!
 
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