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Living with high calcium score

Heart & Blood Health | Last Active: 2 hours ago | Replies (94)

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I have a high CT Calcium score of 1146. It freaked me out until I learned that this does not translate directly into a plaque burden obstructing my arteries. This could be measuring stabilized plaque or it could reflect “soft plaque” that could break away and clog blood flow (ie heart attack).
My blood pressure, triglycerides and inflammatory markers are now all well-controlled. Going to Rosuvastatin 20 mg and Ezetimbe (Zetia) should get my LDL’s down from 72 into the 50’s. Huge risk reduction as a result. Check for ApoB and Lp(a) lipoprotein particles. They are the scary ones.

I thought about getting a CT angiogram to map the soft plaque but since I am free of symptoms cardiologists seem to prefer using the PET myocardial perfusion test which I will ask for soon.

I exercise 200 minutes a week. I hike, sea kayak and engage in judo classes 1x/week. I have no intention of avoiding wilderness out of fear of a heart attack.

Map out your whole profile, watch your numbers, and don’t worry yourself into cardiac stress.

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Replies to "I have a high CT Calcium score of 1146. It freaked me out until I learned..."

So, I am a 77 year old active male. Go to gym almost every day. Normal no and not diabetic. Weight ok. Recently developed chest pain which I believe is due to my chronic gerd. Went to er and they ruled out heart attack. Saw my cardiologist who prescribed an apo a blood test and ct for cardiac calcium. Apo a test showed low genetic risk, but calcium score was 1158! I don’t do well with statins (ldl is about 130). Anyone like me who has started Repatha or a similar drug with no painful side effects? Having undergone a back surgery 9 years ago and still have some lingering back pain I will not accept a treatment to causes or increases body pain. I believe quality of life at my age trumps almost everything. That being said, I am willing to try Repatha is side effects are minimal to none.