My dr wants me to get a calcium score study, should I?

Posted by countrymom0110 @countrymom0110, Jul 8 1:20pm

My heart dr is not happy with my cholesterol totals. I have not been taking my 20 mg of atorvastatin as i should have been. He wanted to put me on injectables and do a calcium score study /CT of my heart. I am almost 55, dont smoke, am not overweight, exercise about average. Im trying to eat better and avoid cheese and dairy. My question: is it a good idea to know my risk with the calcium and do the test? or should i just take my meds and eat right and hope nothing bad happens? On one hand i want to know but also dont want more meds/testing /etc

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Profile picture for swilkins1974 @swilkins1974

I like you am healthy, active but bc of family history I went for calcium score test. It saved my life. I had 2 stents put in my LAD due to a blockage. I had absolutely no symptoms. I say go for it.

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Thanks so much. I appreciate your feedback. My calcium score test has been scheduled. So glad that it saved your life. I don't want to have a heart attack in my 50s. You said you had no symptoms at all. That is very scary. Hope you are doing well:)

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Forgot to mention importance of blood pressure.

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Profile picture for countrymom0110 @countrymom0110

Thanks so much. I appreciate your feedback. My calcium score test has been scheduled. So glad that it saved your life. I don't want to have a heart attack in my 50s. You said you had no symptoms at all. That is very scary. Hope you are doing well:)

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Your lipid numbers should be addressed - you sound very health otherwise! Good for you controlling your weight!

With those lipid numbers I’m surprised the doc didn’t look for an alternative to your current statin.

You might consider getting an advanced lipids test - Quest calls this Cardiac IQ. Provides information that might help explain the high lipids.

What is your triglyceride number?

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Profile picture for countrymom0110 @countrymom0110

Thanks so much. I appreciate your feedback. My calcium score test has been scheduled. So glad that it saved your life. I don't want to have a heart attack in my 50s. You said you had no symptoms at all. That is very scary. Hope you are doing well:)

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@countrymom0110 - I'm so glad you decided to get the test. I have been thinking that in my earlier response I didn't really consider the fact that as a result of testing I got after my high score, I learned there were no blockages more than 50%, which did not require intervention. Like @swilkins1974 mentioned, not everyone is so lucky.

Best wishes!

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Yes, by all means. But first make sure you have finalized your life ins needs. If you get a calcium score tgat shows a lot of plaque, it’s much more expensive to get life insurance

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you need the calcium score. Your idea about eating right has zero to do with the calcium score test. Its not painful and there is no side effect. If you don't do it you won't know how bad your condition is. It might be good. It might be terrible. but you won't know without the easy-peezy test. THEN, you will know what state your arteries are in and what you will need to do. If your calcium score is way high, you need to be proactive or you will end up with a stroke or heart attack. I am sure you don't want that. Take the test. To be forewarned is to be forearmed!

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My husband will be having OHS very soon and I am in a job transition, hopefully to start new job beginning of August. I am inquiring about what the recovery looks like for him, will he need f/t care at home, driving(can't drive for 6 weeks post), etc. What did this time look like for others and their care-givers? Any suggestions helpful. TIA.

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Profile picture for bitsygirl @bitsygirl

I think this is a tough call. If you are genuinely doing everything right and not having symptoms, then you could argue that there's little benefit. I thought I was doing everything right, got a CT scan because some calcifications in my iliac arteries showed up on an x-ray, and my CAC score was in the 98th percentile for my age and gender. I have a family history of heart disease. This was frightening. I tried to pin-down exactly what kind of diet I should be on. Honestly, I've made a few tweaks, but I was genuinely doing almost everything right. I did go on statins.

It does weigh on my mind. I think it's a real stressor. Sometimes I complete some job or whatever, and see that the stress of the job was more than I realized. I'm lighter and don't do stress-related things like drink coffee or eat a sweet or wake up stressed out at night. But before I complete the job, I wouldn't have said I was under stress. I think it's like that, but it will never go away. It has gotten better over time.

That said, for me, I think it's been better to know. I've made some modifications to try to improve my chance of survival. I carry aspirin around now. I make sure I have a phone or Apple Watch with me on runs. (I live in a rural area and I got a new iPhone for its ability to make satellite emergency calls. I'd probably still die, but I think I'd at least have hope in my final moments and that seems big.) As I mentioned, I made some tweaks to my diet and went on statins. I always have exercised and enjoy it, but I recognize now I have to be more serious about my consistency.

So you have to decide for yourself whether you believe you can live with the stress of knowing (or now not knowing) and whether you could make positive changes based on the results. If you trust your PCP, then that's a mark in favor of listening to him/her. It's a personal decision.

Good luck!!! Stay positive whatever decision you make!! If you decide to do it and you get a high score, come back and get the great experience and support of the folks on this forum.

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Do you mind sharing which IPhone you purchased?

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Profile picture for loriesco @loriesco

you need the calcium score. Your idea about eating right has zero to do with the calcium score test. Its not painful and there is no side effect. If you don't do it you won't know how bad your condition is. It might be good. It might be terrible. but you won't know without the easy-peezy test. THEN, you will know what state your arteries are in and what you will need to do. If your calcium score is way high, you need to be proactive or you will end up with a stroke or heart attack. I am sure you don't want that. Take the test. To be forewarned is to be forearmed!

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I have 9 brothers. My grandfather died of a heart attack at 40. My dad at 70. 7 of the 9 brothers have stents. My mother died of Aortic Stenosis as did my sister. I have been taking statins since I am 40. Yes they affect my muscles. 2 years ago they added a 2nd Zetia which brings down the LDL. I see an Endocrinologist at Mayo Clinic Rochester. My son at 50 had a heart attack. He was a professional hockey player my two younger sons have bad cholesterol were college athletes and were told it’s genetics. Think the A1 Protein. Eating healthy helps but your best bet is to take the statins. Good luck

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Profile picture for grands08 @grands08

I have 9 brothers. My grandfather died of a heart attack at 40. My dad at 70. 7 of the 9 brothers have stents. My mother died of Aortic Stenosis as did my sister. I have been taking statins since I am 40. Yes they affect my muscles. 2 years ago they added a 2nd Zetia which brings down the LDL. I see an Endocrinologist at Mayo Clinic Rochester. My son at 50 had a heart attack. He was a professional hockey player my two younger sons have bad cholesterol were college athletes and were told it’s genetics. Think the A1 Protein. Eating healthy helps but your best bet is to take the statins. Good luck

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hey there @grands08 - actually, "no." Statins only do a type of thing. It may do nothing to reduce the arterial build-up in your heart arteries if one has inherited CAD (coronary artery disease). My dad took statins for 25 years. It lowered it cholesterol (blood serum cholesterol numbers) but did zero from stopping the plaque damage in his arteries - even with daily exercise and eating right! (we come from a "produce" family). He had his first widowmaker heart attack at 58. He continued to have a triple (58), quadruple (72) and then triple bypass surgery at 80. He had to go for MANY stints in between! But his cholesterol was GREAT! Like you, we, apparently come from a family with heart disease. I took the LPa test and yes, I've got it. However, there are a VARIETY of mitigating factors in all of this.
I can't take statins. They put me on many years ago. I had side effects. I did ask to receive the LEVQIO injections twice a year. So far nothing has reduced my LPa score. Its (88). But this thread is about the calcium score which is CRITICAL! Mine is quite good. That allows me to take a deep breath and be thankful. There are a variety of good books now explaining how lipids deposit in the arteries. I am lucky to have been made aware that cholesterol deposits were a critical component in university nutritional chemistry classes in 1978. I have watched all these years to be careful. The science is different now as the industry is identifying BETTER the process of the body laying down plaque and what, if anything the science can do about it.
IF one values their life - and living that life with some kind of "quality of life" issues managed than one will want to have whatever tests are being made available to them. I have to PUSH for all of it in todays climate. It is a kaleidoscope of lipid types, and their numbers which must come to bear. The pictures 2 years ago showed I have one artery one third blocked and 3 others clear. (I am 68.) I brought my cholesterol numbers seriously down this year by increasing eating fish. that was the most impactful! But IF one's body is going to fabricate plaque deposits, we can do little by correct eating. We are going to need to increase exercise and look for medicines which help break down the body's building of plaque in a hereditary situation. Make sense?

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