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← Return to 990 calcium score but all bloodwork, EKG/stress are fine what next?
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990 calcium score but all bloodwork, EKG/stress are fine what next?
Heart & Blood Health | Last Active: Oct 4, 2025 | Replies (35)Comment receiving replies
UPDATE - saw a new cardiologist last week which was a great visit and i was very pleased. this doctor was very though with all his questions, observations and feedback plus was a great listener to all my different questions and concerns. He was pleased with my Echo CT results and that my bloodwork overall was good with no markers or concerns. As a next step he did recommended doing a Angio CT scan to determine what the level of narrowing/possible blockage is in the 2 arteries with high CAC. He didnt feel a invasive angiogram would be needed at this time since the Echo CT and blood work was good, but if I was having any chest pains down the road he said the angiogram would be next. We discussed the muscle cramping and dizziness issues i was intermittently having with the rosuvastatin 20mg dose which he said was not unusual and he experienced the same when he took that statin. He suggested trying a newer injectable product called Repatha 140mg sureclick which you inject 1-2x per month and supposed to have much lower side effect on muscle cramping while helping reduce LDL . I'll report back as i get a few weeks under my belt with the Repatha and will share the results of my Angio CT which is scheduled for early Sept.
Here is the link to repatha if any others here have taken this and I'm curious any feedback as to side affects experienced.... thanks and be well.
https://www.repatha.com/what-is-repatha
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@johnv66 I wanted to share another update as I received the results back from my Angio CT a couple weeks ago.
As I expected with having a 1000 calcium score across 2 arteries they did find "stenosis' in a few areas including the following:
- left main trunk less than 30% stenosis
- LAD 50% heavily calcified proximal stenosis and moderate sized first diagonal with under 50% stenosis
- Right coronary artery (RCA) less than 50% proximal stenosis
- all other arteries were 0% / no stenosis
- estimated LV ejection Fraction 65% (A normal EF is usually 55–70%. At 65%, your EF is in the normal–high normal range, indicating your heart’s pumping function is strong)
I am seeing my cardiologist again next week to review this and ask additional questions as when the nurse called me to review this she said "everything looks great" but I assume thats because the stenosis was under 70% and not requiring a stent at this time which in their view is good (to me that is still quite concerning!) At this point I believe I have covered about all of the possible tests one can do (ekg's, echo stress test, angio CT, bloodwork etc) and also the Repatha statin appears to be working as my cholesterol is further reduced to 142 and LDL at 71 so not much more I can do there (prior to this my cholesterol was 158 and LDL 81 and never had any issues with it).
I will talk more with my cardiologist about how best to manage my situation going forward as my biggest concern is the LAD (widow maker artery) with the severe calcification and over 50% stenosis as I dont know if that means I should take more precautions/restrictions on weight training and only focus on cardio or if its nothing to worry about until it gets to 70%.
I appreciate everyone's input and sharing on this thread and will provide another update after my next cardiologist visit. Hope everyone is feeling good and healthy and taking care of your health!