Coronary calcium score
Started having health anxiety during the pandemic and has gotten really bad. Had a coronary calcium score test done and came back 784. Stress test , echo, heart monitor all good nothing major . Can’t get out of my head that I can have a Heart attack or stroke at any given time. I do get a lot of palpitations and fluttering so I start to obsess and think it is going to happen. The doctor suggested I get an angiogram done because of my anxiety level to see the percentage of plaque. I am not sure what to do . Looking for advice
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It is entirely possible, even likely, that your calcium score is unrelated to your apparently electrically disordered heart. If you are experiencing palpitations (which are a symptom, not a diagnosis), and if ischemia is not indicated, and has been ruled out, then something else is causing your palpitations. Chances are that you have a re-entrant of SA node signal in the pulmonary vein ostia or perhaps in the left atrial appendage, maybe in the coronary sinus...it remains to be determined and then located by an electrophysiologist. It could also be that you have undetected, or improperly treated if known, sleep apnea. This was the case for me, and it caused my heart to become paroxysmally affected with atrial fibrillation.
You mention anxiety: that, too, can cause palpitations, which are most often either atrial fibrillation or premature atrial complexes (PACs for short, and they're just the odd missed beat followed by a thumping catch-up beat). The mechanism involves a fear response in the amygdala, in the brain, which causes the adrenal glands to secrete adrenalin. In turn, adrenalin directly affects your heart causing it to beat forcefully and to speed up its rate. People who develop an arrhythmia that can be controlled by beta-adrenergic medications have a heart overly sensitive to adrenalin. So, for the short duration, you might wish to ask a physician if he/she would prescribe a modestly strong suppressor such as Ativan.
I am not a doctor. I can only tell you what my doctor did and referred me for my calcium heart score was 306. He sent me for a stress test and then another stress test would dye and contrast and Doppler. It showed what arteries were narrowed in my heart, and where the calcium buildup was located and they put me on Repatha as I can not take a statin.
I totally understand where you’re coming from. I have very bad health anxiety. I had had many tests. They all came back negative, except for the calcium score test which came back at 3 on my LAD so of course that freaked me out gives me more anxiety. I have had heart palpitations for many many years and had the treadmill test. I’m right now waiting for the results for my echo but I had one before and it was normal. There is some kind of test that one of my doctors recommended, but it’s an angiogram with some AI stuff I don’t know it’s called clearly so they don’t really go in there. It’s like by a sonogram of some sort or MRI. I don’t know. Look it up. It’s less invasive. I take Ativan when I have anxiety really bad and she did prescribe me something else because I’ve been having such an anxiety that my, blood pressure shoots up very high and I went to the emergency already a couple of times but my blood pressure is about 106/60 - 54 old female 54 150 exercise three times a week or four on the treadmill for 30 minutes and get about 20,000 steps a day so I try to be very active that helps if you don’t mind me asking how old are you?
sorry voice text lol