Thanks Martin. Statins would not directly affect coronary calcium, but if or when it is a marker for high intimal atherosclerotic load, then lower LDL 'might' help slow plaque formation. I know that it's questionable how effective statins are for 'primary' prevention. In our case, IF our scores are markers for intimal plaque, then I'd view it as secondary prevention, for which statins have a track record. My cardiologist tells me that his group's income is down since statins have been in wide use. People with heart attacks used to come back for a second or third coronary event. No more. Apparently. It's an odds game, just like the rest of life. I tell my patients that when they fear the disease they have, or might have, to not forget that somewhere there's a bus with their name on the grill. You just never know....

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