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It was part of my annual check up because im a former smoker, im 57 BMI is 22 lipid panel was 190 total cholester, 78 HDL ,LDL 90 and TRI 111. Exercise five days a week. nuclear stress test normal.
Replies to "It was part of my annual check up because im a former smoker, im 57 BMI..."
I have moderate heart disease because my calcium score is 399
Also I am a former smoker and get a yearly low dose CT scan for prevention and also to follow up as I have benign nodules.
The CT scan shows the aorta and gives an accurate shape of any aneurysm. Mine is normal for my age, thus I don’t get an echocardiogram.
Because of my elevated calcium score, it is advisable that the LDL be at 55 or lower. I’m on a statin to prevent progression of calcification. It’s not about the total cholesterol but the LDL ( bad one)
I keep exercising and eat healthy.
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The proper next step at this point would be to ask the cardiologist if they agree with the radiologist's finding of "severe coronary artery disease." Given your stats, that all other tests are normal, and you were asked to come back next year, it would seem that was not the case.
If you are still concerned, there is a higher dose CT with contrast that provids a more detailed picture, but the cardiologist probably doesn't think it is necessary.
Can you send a message the doctor through the patient portal, or phone them to get an answer?