Get an “LP little a” blood draw/test and find out if you have coronary artery disease CAD. If you do and with your calcium test, go to the cardiologist and find out if you have any arteries blocked. That’s really the main concern you didn’t say what your cow what your cholesterol was. CAD runs in my family so I was able to get the test easily and indeed I do have it unfortunately it’s hereditary. So fortunately my whole life I’ve been really concerned about eating a low-fat diet and staying healthy. I have three clear arteries and one artery that’s 1/3 blocked. I’m 67 years old. I outlived my other relatives so I’m doing pretty good and my arteries are in great shape compared to my dad who had a heart attack at 58 and swam three times a week and had three arteries completely blocked and had to be on statins the rest of his life. He died a normal life span of 87 years old. I found it was really easy to lower my cholesterol by just putting more fish in my diet when I went off the fish my cholesterol shot back up. Because of the CAD I also get LEVEQIO injections twice a year which are going to help Avoid plaque buildup. I wouldn’t worry so much about numbers I would worry about what condition your arteries are in and your heart. They seem to be in good condition but I didn’t see what your arteries look like. Get that checked get a cardio doctor. Good luck.