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High CAC Score with Optimal Cholesterol Levels
In 2020, I had a calcium screening done (age 49). It was non-negative at 32. My PCP at the time did not seem alarmed so I wasn't. 5 years later, I've head a follow up done. The score is now 458! My cholesterol has never been anything other than in the optimal range with LDL always in the low 80's. My recent Lp(a) test is 32 which PCP says is normal.
Because of my CAC score, my PCP (a different one) has prescribed a statin. This is all new to me. I don't understand how my score can be so high if my cholesterol has never been high.
Anyone else with this experience?
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Hello @tinyelvis
You are in the right place! I want to encourage you to keep asking questions. It gets complicated.
My first thought is that there is more than cholesterol that can cause this problem, and statins do more than control cholesterol. I have been told by a cardiologist that they help with inflammation. I am not a medically trained person but to me, this sounds like your PCP is on the right path.
What prompted you to get these calcium tests? Do you have any other challenges with your health?
Janell
Definitely time for a statin. There are more factors in atherogenesis than
the lipid profile. Suggest that you consider the Mediterranean diet and
exercising after consulting with a cardiologist concerning your risk factors.
A stress test and carotid ultrasound could offer some reassurance.
High sensitivity cardiac CRP lab can determine if inflammation is a factor.