Hi doctor, I had CT angiogram done and the results show intermediate or high OM, has mild pus atheroma in the ostium. I take Inderal 40 mg twice a day for palpitations and medication for anxiety. I was given a spray GTN. My blood work shows Cholesterol 6.6 and triglycerides 1.0, HDL 1.0, LDL 5.1, also gamma GT at 98. The CT conclusion was mild plus proximal intermediate atheroma. I have no idea what this all means or what does OM mean. I get pain in my chest, jaw and left arm. My doctor said this could be from GERD that I suffer with. I am constantly running to the ER. Can this be fixed? I am only 40 years old. There is a strong family history of heart disease.
Hi. Well, keeping in mind strong family history of heart disease any chest pain can mimic a heart pain. But this can or cannot be related to the heart. OM (obtuse marginal artery) is the name of the artery that is a small branch of main arteries that supply blood to heart's own muscles. OM is not one of the major arteries of the heart, those when blocked pose a greater risk than this smaller branch. Atheroma is something that blocks a blood vessel. It can be formed by fatty deposits and associated with other factors too. It blocks the passage of blood through heart vessels.  If your doctor (after possibly seeing the angiography reports) stated that you might be suffering from GERD (gastroesophageal reflux disease) and the symptoms you feel may be due to that stomach issue, it means they are assuming not a major blockade in blood supply to heart's own muscles. In this case, I suggest you get another opinion from a cardiologist who can reinforce the same as the previous physician said or maybe he comes to a different conclusion. All it needs is a physical examination and closer look into the laboratory reports and if needed, further investigations. Yes, it can be fixed if we make a final decision on whether you need a cardiologist or a gastroenterologist to manage this issue. If GERD, the gastroenterologist would be the next person to jump in and handle it accordingly. It takes a different direction then. For more information consult a cardiologist online -->