080H CTA LAD Disease CAth Negative

63 year old male with PMH HTN CROHNS DISEASE WITH INTERMITTENT PALPITATIONS, No
chest pain, Presyncope or dyspnea, EKG with Occasional ectopy, NS T wave
change, CBC electrolytes, TSH wnl. Holter revealed 10 SVT events and
PACS/PVCs. ETT 7/12/2021 + for ST depression, Cardiologist recommends
Coronary CAT I47.1 (ICD-10-CM) – Supraventricular tachycardia I10
(ICD-10-CM) – Essential (primary) hypertension

CTA

1. Moderate plaque burden of the LAD with approximately 60-70 % luminal narrowing. This plaque may be of hemodynamic significance

63M Crohns – proximal LAD calcified plaque felt to be possibly of hemodynamic significance on CTA but not clinically significant on Coronary angiography

2. Agatston Calcium Score = 70.73, corresponding to 54th percentile.

RECOMMENDATION:
Evaluation with cardiology as clinically directed

Cardiac CAth

INDICATIONS:
Positive Stress Test

CORONARY CIRCULATION:
Left Dominant
Left Main: Normal
LAD:
Mid LAD: Lesion 10-20 %
LCX:
Left Circ: Normal
RCA:
RCA: Normal, small non-dominant