@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.