← Return to 990 calcium score but all bloodwork, EKG/stress are fine what next?

Discussion
Comment receiving replies
Profile picture for johnv66 @johnv66

hello @jlharsh thanks very much for your reply and recommendation about requesting a lower dose of rosuvastatin which i'm going to ask my cardiologist about next week at my appointment.

i am looking to get some additional blood tests as i did get a troponin, crp, lipoprotein a and b and those were all good results and showed no issues. i may just get an angiogram or an angio CT might be another option as I want to know what the blockage risk is despite my Echo stress test results being above average.

I asked my doctor about the Calcium CT test earlier this year because i had an uncle on my mothers side die of a sudden heart attack at 70 and he had no prior symptoms or warning signs (although he was overweight and not on top of his health). my doctor at Rush Hospital in chicago suggested the Calcium CT since its offered for $49 and didnt even require a doctors order to schedule.

I will share more next week after the 2nd cardiologist opinion. I am so thrilled to be off that rosuvastatin 20mg and have heard from several people who are only taking 5mg every day or every other day so hopefully that will be the dose my doctor recommends and is much more tolerable.

Jump to this post


Replies to "hello @jlharsh thanks very much for your reply and recommendation about requesting a lower dose of..."

@johnv66, you had good instincts to ask about getting a calcium CT test. I think I read that you have checked your Apo-A and Apo-B. Ceramides and Lipoprotein (a) are additional tests that check for independent contributors. I found information from Mayo Clinic Labs that may be helpful to show your cardiologist:
- Lipoprotein (a) testing: https://cardiology.testcatalog.org/show/LIPA1
- Ceramides testing: https://cardiology.testcatalog.org/show/CERAM

Yes, please do report back with what you learn from your next appointment.

You could still benefit from trying another statin such as
atorvastatin. Ask the new cardiologist about inflammatory
markers like HsCRP. Carotid ultrasound can assess atherosclerosis progression as well. They may recommend
a catheter study.
Mediterranean diet is important. CoQ10 is anti-inflammatory and good even if you are not on statins.