VERY HIGH Coronary Artery Calcium Score

I'm a 69-year-old, very active (until recently) male. Have a good diet, non-smoker and casual drinker. I had a health episode a couple of years ago that resulted in testing that revealed signs of a past Cerebrovascular accident (CVA), Left carotid stenosis, Coronary Artery Disease, Occlusion of the right vertebral artery and extremely high Coronary Artery Calcium (CAC) Score (total 3536). I have had high cholesterol for quite some time, but it was always thought that it wasn't a problem due to my high HDL and low ratio. These findings resulted in a couple of stress tests and further imaging. The stress tests have been very, very good, showing a strong heart. I have been on a couple different statins (Atorvastatin and Rosuvastatin), both of which wreaked havoc with my muscles and joints. Most recently I have been on Praluent. My current Lipid panel showed a Total Cholesterol of 180, Tri of 116, HDL of 94 and LDL of 63. I have also had a Sterol test that has come back negative. I have been off all cholesterol meds for a short time due to an unrelated health issue but am looking at being able to go back on them shortly. Not sure what I am asking, other than suggestions that anyone may have for any additional testing and cholesterol medication to consider without just throwing a dart at the Cholesterol Dart Board. The high CAC has gotten into my head. Appreciate any thoughts.