I received a shockingly high CAC score despite what seemed like a very healthy lifestyle and diet. Long story short and based on your description, in addition to statins I'd suggest looking into other possible lifestyle factors that may be going under the radar. I'd suggest learning about/monitoring your insulin sensitivity, blood pressure, consumption of saturated fat and lipoprotein(a). I read "Beat the Heart Attack Gene" and it was helpful as a starting point to learn more about it.