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High Calcium Score and PCSK9

Heart & Blood Health | Last Active: Jul 8, 2023 | Replies (34)

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@lolly906

Thank you everyone for all the great advice and support! I have not started the Lipitor yet, (due to anxiety over it) but feel more comfortable now with all of your advice, I'm going to take a lower dose at first along with the baby aspirin to see how I tolerate it I'm so grateful I joined this discussion group you have all been so helpful I wish you all the best and will keep you posted! Also read something about "repatha"? Is anyone familiar with it?

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Replies to "Thank you everyone for all the great advice and support! I have not started the Lipitor..."

Repatha is a twice monthly injectable. My cardiologist just doubled my statin to 40 mg in an attempt to get my HDL down to 20 within 2 months due to my calcium score of 1014. If the increased statins do not work they want me to start the repatha or another injectable that is on the market.

keith156, I think your cardiologist hopes to get your LDL down and your HDL up but getting your LDL down to 20 will be a monumental improvement and just might bring down your calcium score or at least keep it from increasing. Some people are on both a statin and a PCSK9 inhibitor injection. I wish you good luck.

A recent Q&A online by Mayo cardiologists addressed repeat calcium tests. Maybe a moderator can find a link to a recording of it. I recall them saying there is no value to repeating. It is the unstable plaque that we treat and the calcium test measures stable, or calcified plaque. The goal of the drugs we take is to stabilize the bad stuff moving through our arteries so the calcification can actually increase as that happens, or at least that is my understanding.

@jharsh Thanks for the tip about a recent Video Q&A with Mayo Clinic cardiologists. Here is the link to all the past video events:
- Expert Q&As https://connect.mayoclinic.org/webinars/

I'm not sure which one might have talked specifically about calcium tests. Might it be one of these recent ones?
- Video Q&A about Men's Heart Health https://connect.mayoclinic.org/webinar/video-qs-heart-health/
- Video Q&A about Women and Heart Disease https://connect.mayoclinic.org/webinar/video-qa-about-women-and-heart-disease/
- Video Q&A about Stroke https://connect.mayoclinic.org/webinar/video-qa-about-stroke-1/

Yes! Thank you getting thisnarrowed down . It's https://connect.mayoclinic.org/webinar/video-qs-heart-health/ specifically at 23:00 minutes begins discussion about calcium testing then specifically about retesting is at 26:20 into the video.