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

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Profile picture for mecozine @mecozine

Hi I have just joined this group. I am a 82 year old woman who is fit and lives at 7400 ft. My cholesterol
is low, but my CT Scan came back at 395 and was a total surprise to me. My doc put me on ruvostatin
and it caused severe leg cramps. Now I am on 3 baby aspirin a week and Pravastatin 3 times a week.
I found it to also cause muscle cramps so I stopped taking it. (I have only been on statins for less than
a year.) I think I need a complete heart work-up and will be coming to Arizona in jan-Feb. and living
in Tucson. Meanwhile, I want to stop the statin but maintain the baby aspirin until then. I have sleep
apnea and use a C-Pap at night as well as modern asthma. Durango is a small town and we do have
a Cardiologist here and I have seen her. She recommends the statin /baby aspirin. What do you think?

Advice?

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Replies to "Hi I have just joined this group. I am a 82 year old woman who is..."

Hi @mecomecozine. There are many other statins you could try. I was initially on Rosuvastatin and it didn't cause cramps, but I couldn't gain any strength and my recovery from exercise was terrible. I am on Atorvastatin now and it's much better. (But I believe it still has an impact, though that is very subjective.)

I believe there is some controversy about statins for certain people. My score was almost 600 in early 60's so I feel like I really have no choice and trying to unravel the science is overwhelming. In the end, given my score and age, I decided I had to trust my cardiologist. In your place, I'd keep trying to find a statin that you can tolerate.

You might be interested in the calculator here: https://internal.mesa-nhlbi.org/about/procedures/tools/mesa-score-risk-calculator It will tell you your coronary versus actual age. But it's just an educated guess of course. I guess CAC is an absolute measure of the size of plaque, but I think your number is better for your age than you might think. FWIW.

@mecozine hello and thank you for sharing your situation as I had a negative experience with 20mg Rosuvastatin and all the cramping. My "new" cardiologist put me on an injectable statin called Repatha 140/ml which comes in a "pen" form and I inject it every 2 weeks into my thigh or abdomen similar to those diabetic insulin pens. SO far zero side affects and no cramping at all with Repatha which was a pleasant surprise. It is slightly more expensive at $60 per 2 month supply vs the traditional statin pills but for me its been worth it. I also still take the 81mg bayer baby aspirin as a precaution. For 82 your calcium level is actually pretty low (i'm 54 and mine is nearly 1000!!!) but you should also get your cholesterol levels checked especially LDL which is what Repatha will most significantly impact/reduce.