Crazy high calcium score

Posted by heycal @heycal, Jun 17 6:42pm

61 male with COPD which doesn't keep me from exercising regularly. No symptoms of anything unusual lately. Diet is not great, but not overweight in the least. Had a Stent put in for carotid artery 18 months ago. Been on atorvastin and ramipril for BP and high cholesterol for a few years now. Cholesterol numbers now look pretty good I think.

Just had a CT ordered for calcium score after "severe coronary calcifications" noted on routine lung CT scan. My score was just over 4000, though with 'accuracy comprised by motion detection or something', though I'm guessing it's at least somewhat roughly accurate. I was stunned by this number when I saw it today in my health app (I was prepared to freak if I saw 400!), and haven't heard back from my doctor yet. Found this group in the meantime, which made me slow my catastrophic thoughts somewhat as I imagined myself undergoing emgergency heart surgery this evening....

As I await further word, perhaps you folks can tell me what these numbers mean in the report, and what I can expect going forward?

LM: 0 LAD: 658 LCx: 329 RCA: 3062

Thank you,

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Update for those following along. My stress test was fine. Cardiologist says no further testing necessary as long as I remain symptom-free. A childhood friend who's also a cardiologist agrees. They both disagreed with those here and elsewhere who say you can't trust these things alone and must get an angiogram or heart cath to be sure.

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@mayoconnectuser1

Yes. Standards of care treatment does not always support useful testing like this. Wait for a doctor to decide when thousands of others find the data useful? No, I try and be proactive.

The advanced lipids panel provide more detail re types of lipids - here's a better explanation than I can give - https://www.questdiagnostics.com/healthcare-professionals/about-our-tests/cardiovascular/advanced-lipid

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@mayoconnectuser1 I asked my cardiologist today about advanced testing. I also asked my childhood friend, also a cardiologist, about it on Saturday. Both said not really necessary, I believe their reasoning being it wouldn't change anything regarding treatment.

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