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I have a very high calcium score. What next?

Heart & Blood Health | Last Active: 4 days ago | Replies (505)

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@bluegelicopter
No need to change doctors, statins increase arterial calcification and CAC scores which is a good thing and what you want, your plaque is shifting into a stabilized stage. Heart cath and no stent needed shows proactive approach which is good. There is nothing for you to do but stay on your statin and make all neccessary lifestyle changes, many people in their 90s with CAC scores over 5000 living normal lives.

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Replies to "@bluegelicopter No need to change doctors, statins increase arterial calcification and CAC scores which is a..."

@christianzane
Christian. Thanks for the professional and reassuring information. I appreciate it! Stephen

@christianzane Yes, it's most likely a good thing if the CAC score is increasing (to some degree) while the statins are lowering the LDL - it's likely that the meds are hardening the soft plaques and stabilizing things. But what I don't agree with (at least not entirely) is the medical profession's SOP to not take the next step and do a CTA to check for stenosis if the patient has a very high CAC score. As many have pointed out, the CAC score on its own is just a confirmation of Coronary Artery Disease. But if you have a very high score, and unless you have the CTA, you won't know if you have any significant stenosis developing that needs action (like a balloon and stent). Simply telling an asymptomatic patient with a high CAC score to just go home, take the meds, watch their diet, and call the doctor if they get chest pain seems to be like painting only half a picture. At least people are now more aware of getting a CT Calcium test to begin with. So that's an improvement, but I bet most people have still never heard of them - even though they've been around for 2-3 decades now.