Newbie here. I'm, for better or worse, an MD (ex ER, now hospitalist), been a health freak all my life, now age 72. Minimal to no risk factors until late 60s when my BP crept up to need-to-treat levels. Exercised all my life. I developed paroxysmal atrial fib 3+ years ago so I had a workup that included a CC score. I was blown away to find out it was over 2200. wtf?? Normal perfusion, treadmill, no exercise intolerance. I would have gotten an angiogram or coronary CT angio but I have a really bad reaction to IV contrast, so I won't do that unless I'm in a life threatening situation. I'd been on coumadin for 5 years for an unrelated malady (in addition to atrial fibrillation) and switched to a non-coumadin anticoagulant and took advantage of this to take large doses of Vit K (plays a role in moving vascular calcium to bone). I also started a statin. Game plan was to recheck my CC score in 3 years, which was this past summer. The new level was over 2600. ugghhh. Like many of you, I've felt like a walking time bomb. My cardiologist and other docs acknowledge that levels like ours are not well understood. btw, my atrial fibrillation was obliterated with 2 atrial ablations. At this point, I'm assuming that this calcium is mostly NOT in the intima (inside) of the vessel in plaque but is either medial (muscle layer of the arteries) or otherwise more external to the flow. That is, it is NOT highly correlated with plaque. I'd like to believe that anyway. In the meantime, I do what most of you do - I work out, take my statin (which seems to work very well), eat as reasonably as I can and, as my cardiologist suggested to me, carpe diem. An additional consideration for me is that I have chronic/late stage Lyme disease and have had cardiac involvement. My lyme guru doc suspects it's calcified Lyme biofilm. More oh well.......