I have a very high calcium score. What next?

Posted by dpframing @dpframing, Aug 24, 2018

Just joined the site and I'm looking to share with others who have had a high calcium score. I found out today that mine is 2996 and I am scared by this. I am 61 and I am totally asymptomatic. Now I feel like a walking time bomb. I am thinking of requesting an angiogram to see if there's any narrowing anywhere and if it can be corrected with a stent. After a second heart doctor told me that the plaque buildup might be uniform over the course of years with no big problem areas, I am encouraged. But the score still freaks me out, specifically my LAD at 1333. I don't smoke or drink but I have to lose 40 lbs.

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@njx58

At least the expense will be limited to $2000 in 2025 thanks to the changes to Medicare. Still a lot, I know.

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Agree, but too much for me.

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@llynch17056

Agree, but too much for me.

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Could be worse! My neurologist thinks I may have ALS (next appointment in a week) and the only drug that might slow it down (only give another 4-6 months of delayed symptoms) is $145,000/yr and no indication whether insurance will cover it since it is an orphan drug. I might try a clinical trial at Jefferson since that won't cost anything, but there is a 50/50 chance that I'll actually get a placebo.

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@keithl56

Could be worse! My neurologist thinks I may have ALS (next appointment in a week) and the only drug that might slow it down (only give another 4-6 months of delayed symptoms) is $145,000/yr and no indication whether insurance will cover it since it is an orphan drug. I might try a clinical trial at Jefferson since that won't cost anything, but there is a 50/50 chance that I'll actually get a placebo.

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I’m so sorry you are facing that, Keith. I hope it works in your favor

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@leaddogy2k

Good morning,
I would absolutely demand an angiogram and I'll give you my reason.
I am not overweight, work out 3-4x a week, total cholesterol of 102 (all cholesterol types are, and have been, well in line). EKGs, stress tests, etc always came out perfect. I've been a vegetarian for over 10 years. The model of good health, right? Wrong.
Took a calcium heart scan and my score was 2397!
Long story longer - after an angiogram it was discovered that I had 4 arteries over 90% blocked each. Cardiologist said a fatal heart attack was imminent.
Ended up having quadruple bypass surgery, which saved my life.
Please demand an angiogram.

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I TRIED for 6 years to get them to do an angiogram after a calcium score of 1100+ and extreme family history of CAD. I was much like you - tests were perfect, I exercise and eat decently. they wouldn't do it because I had no symptoms. I had Covid in Feb 2023 and then was short of breath doing the smallest of things after I felt covid had resolved. THANKFULLY, they decided at that time to do the angiogram, and I had 3 major blockage and had CABG in April of 2023. Very frustrating, but I guess I am glad the "big one" wasn't my first symptom!

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@cindywinger

I TRIED for 6 years to get them to do an angiogram after a calcium score of 1100+ and extreme family history of CAD. I was much like you - tests were perfect, I exercise and eat decently. they wouldn't do it because I had no symptoms. I had Covid in Feb 2023 and then was short of breath doing the smallest of things after I felt covid had resolved. THANKFULLY, they decided at that time to do the angiogram, and I had 3 major blockage and had CABG in April of 2023. Very frustrating, but I guess I am glad the "big one" wasn't my first symptom!

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Good for you!
When my mom was going through cancer treatments, I learned something.
That YOU have to be the most ferocious advocate for your health.
My doctor at first did not want to order an angiogram. I insisted.
Doctors may have the best intentions, but they are not all-knowing. And they have bad days too. And maybe some of them don't really care. I don't know. All I know is you have to be on the front line, fighting for your health. And the health of your loved ones.

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@dejones270

I started taking two 500 mg. doses of slow release niacin daily and my Lp(a) went down dramatically.

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I hope you have gone to the mayo clinic.com website and done your research on niacin! It is very dangerous, which is why doctors don’t use it as a medication! You were playing mortality roulette.

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@missey

I hope you have gone to the mayo clinic.com website and done your research on niacin! It is very dangerous, which is why doctors don’t use it as a medication! You were playing mortality roulette.

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Glad you posted about this, Missey!

Self service medicating comes with risks for those not educated.

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