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!