Cardiologist Questions Cardiologist

cardiac work up

I had a cardiac work up because I was symptomatic of heart attack. Turned out after testing I didn’t have one. The radiologist wrote “ no active coronary artery disease”. What does that specifically mean rather than “ no Coronary artery disease”

Female | 56 years old
Complaint duration: 1
Medications: Lexapro
Conditions: None related

3 Answers

When the radiologist wrote "no active coronary artery disease," it typically means there were no signs of ongoing or acute issues, such as blockages causing reduced blood flow or evidence of a recent heart attack (e.g., ischemia or infarction) at the time of testing.

In contrast, "no coronary artery disease" would suggest the complete absence of any buildup or damage in the coronary arteries, including chronic conditions like plaque formation or scarring.

The phrase "no active coronary artery disease" might leave room for the possibility of past or minor chronic conditions that were not causing immediate symptoms or complications during the test. If you have concerns, it’s worth clarifying with your doctor whether further follow-up or preventive care is necessary.
You cannot rule out underlying coronary heart disease, ruled out present MI
That’s great news as it means you have no significant blockages in your blood vessels of the heart