I am in the same boat but had a NSTEMI at 57. I had a CAC score of 952…but I have been eating well…low carb plant based for over 30 years, exercise regularly, and love life and my job. I have statin intolerance, so could not take statins, but avoided red meat and saturated fats.

It wasn’t until John’s Hopkins tested me for Lipoprotein(a). It is a separate risk for CVD. My test came back at 312 nmol. Get your Lipoprotein(a) tested - it is not included in your lipid panel. You are doing all the right things…and remember…the stuff(calcified plaque) you see is not as dangerous as the stuff the doctors don’t see.

My brother smoked and drank for 40 years, was overweight, stressful job, and had a pretty rough diet from so much travel for work. He has been on low dose statins for nearly 15 years and has a lower CAC score (125), younger than me, and heart attack. His Lp(a) is 188 nmol…still high but less than mine. I think the statins helped him… So sometimes lifestyle doesn’t really matter. 😉

Kindest regards…life is good.