← Return to 58 year old healthy, active female with high coronary artery calcium

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@jlharsh

We are the same age and on somewhat on the same marathon. My score on an initial calcium scan was 398 about 8 years ago. It wasn’t until I connected with my current cardiologist (and care team) that my true risk factors have been identified, and then improved. Instead of a ‘spray and pray’ approach they are figuring out how my specific body works. I can tell you my body like this approach much better.

You mention you do not have symptoms. Why did your primary doc recommend getting a calcium scan? What is your cardiologist looking at to think you should cut your exercise? I guess my suggestion would be to ask questions before changing any habits. I listened to doctors who told me diet and exercise don’t matter in my situation, turning out to be bad information.

It may help you to ask, given this new information what your LDL target should be. Questions are good and your blood can answer a lot of them. I am certainly not an expert but I can provide a few places to get your started (Maybe these are already posted in the thread-sorry if repeating):
There are blood tests that break down your lipid numbers even more. One example is Apo B that is part of your lipid panel LDL number. https://my.clevelandclinic.org/health/diagnostics/24992-apolipoprotein-b-test
There are additional genetic factors that can be easily checked https://www.heart.org/en/health-topics/cholesterol/genetic-conditions/lipoprotein-a
My doctor periodically checks my ceramide score, an independent risk factor for inflammation. What goes into the score seems complicated to us but it does give our doctors more information to work from. https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease/art-20049357

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Replies to "We are the same age and on somewhat on the same marathon. My score on an..."

Thanks for your reply! My new primary doctor recommended the calcium scan because my father had a heart attack in his 60s, my grandmother had a stroke in her 70s and died, and my LDL is a little high. My previous doctor had always looked at the cholesterol ratios and said they were all excellent so there was nothing to worry about.

I asked tons of questions which my cardiologist, thankfully, took time to answer thoroughly. The reason she suggested I reduce the amount of exercise is that I was exercising 6 days a week for 1-1.5 hours a day. She said exercise by nature is inflammatory, and I was not giving my body enough recovery time. She recommended that I follow the AHA guidelines of 150 minutes per week with my heart rate not surpassing 138. And all these years I thought I was doing wonderful things for my body for being dedicated to working out vigorously and often!

Thank you for the suggestions. I just ordered a free Lp(a) test this morning and plan to ask my doctor about the Apo B test the next time I see her. I haven't heard of the ceramide score, so I will be looking into that as well!